Alicia Roldan, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

20A22464 Issued in CA

Practice address

1420 S Central Ave
Glendale, CA 91204

Phone

(818) 502-2275

NPI assigned

Jul 16, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David Taftian DO IncGroup PAC ID 4385980358, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
• Glendale Memorial Hospital Inpatient rehabilitation facility, Glendale, CA, CCN 05T058

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations (25 of 60)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19088/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David Taftian DO, Inc

  • Physical Medicine & Rehabilitation Physician
  • Reseda, CA
  • NPI 1366917361
  Medicare reassignment Care Compare group NPD
• Health Atlast West la Inc

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
  • NPI 1376968610

  Internal Medicine

  Medicare reassignment NPD
• Quality of Life Medicine PC

  • Rehabilitation Clinic/Center
  • Los Angeles, CA
  • NPI 1437965381
  NPD Authorized official
• Health Atlast West la

  • Physical Medicine & Rehabilitation Physician
  • Santa Monica, CA
  • NPI 1326584277

  Internal Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1477610640
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1891303871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LINCOLN BLVD # 1232",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913503",
            "telephone_number": "609-933-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91204",
            "telephone_number": "818-502-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLDAN",
        "first_name": "ALICIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A22464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Roe
• Glenn Stephen Roeder, D.D.S.
• Erin-Elizabeth Roffe
• David E. Rogers, M.D.
• Kathy J Rojas, LCSW
• Marcela Roldan
• Roman Babai
• Kendra Roman
• Victor Hugo Roman Jr., D.C.
• Angelina Romanenko

• Physical Medicine & Rehabilitation Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.