Active NPI
Bernardita Mendez Roe, NP
- Adult Health Nurse Practitioner
- Newark, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 13708
- Practice address
- 6236 Thornton Ave
Newark, CA 94560-3732 - Phone
- (510) 248-1860
- NPI assigned
- Jun 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 515952 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | 13708 | CA | Primary |
Addresses
Primary practice location
6236 Thornton Ave
Newark, CA 94560-3732
Mailing address
2500 Mowry Ave Ste 255
Fremont, CA 94538-1605
Other practice location 1
2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 248-1000
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6236 Thornton Ave
Newark, CA 94560-3732
Phone (510) 797-7535
Hospital & facility affiliations
- Washington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.74 of 100
- Quality
- 66.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Township Medical Foundation | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Washington Township Medical Foundation | Current | Accepting new patients |
Locations
2500 Mowry Ave
Ste 255
Fremont, CA 94538
39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
6236 Thornton Ave
Newark, CA 94560
Phone (510) 248-1860
900 Blake Wilbur Dr
Palo Alto, CA 94304
Phone (650) 498-6004
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
Interoperability endpoints
- broe13040@direct.whhs.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1346557014
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- Urgent Care Clinic/Center
- Fremont, CA
- NPI 1669360681
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fremont, CA
- NPI 1780614685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1912268145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 MOWRY AVE STE 255",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6236 THORNTON AVE",
"city": "NEWARK",
"state": "CA",
"postal_code": "945603732",
"telephone_number": "510-248-1860"
}
],
"practiceLocations": [
{
"address_1": "2000 Mowry Ave",
"address_purpose": "LOCATION",
"city": "Fremont",
"state": "CA",
"postal_code": "945381716",
"country_code": "US",
"telephone_number": "510-248-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROE",
"first_name": "BERNARDITA",
"middle_name": "MENDEZ",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-05",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "515952",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "13708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.