Individual provider Active NPI

Bernardita Mendez Roe, NP

  • Adult Health Nurse Practitioner
  • Newark, CA
National Provider Identifier
1912268145
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
13708 Issued in CA
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

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150721003332 CA Practitioner - Nurse Practitioner 6406169317 Reassigns benefits to 1 organization

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
Washington Township Medical FoundationGroup PAC ID 2860687050, 125 clinicians

Practice addresses (Care Compare)

6236 Thornton Ave
Newark, CA 94560-3732
Phone (510) 797-7535

Hospital & facility affiliations

  • Washington Hospital Hospital, Fremont, CA, CCN 050195

Merit-based Incentive Payment System (MIPS)

Final score
87.74 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Washington Township Medical Foundation CurrentSince Jan 22, 2020 Accepting new patients
Stanford Health Care Current Accepting new patients
Washington Township Medical Foundation CurrentSince Jan 22, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.