Omar Rovira Rabulan

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

License

00090089 Issued in CA

Practice address

300 Pasteur Dr
Palo Alto, CA 94305-2200

Phone

(650) 723-7030

NPI assigned

May 22, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1932690203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 BELSHAW DR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355469",
            "telephone_number": "714-887-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABULAN",
        "first_name": "OMAR",
        "middle_name": "ROVIRA",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "CA",
            "license": "00090089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Nicole Rabideau, PHARMD
• Bradford Courtney Rabin, MD
• Michael D. Rabinoff, DO, PHD
• Marlene Rabinovitch, M.D.
• Ralph Rabkin, MD, MBCHB
• Kendra Cassandra Ractliffe, PH.D.
• Mabel Rada
• Melanie Rada, FNP
• Elizabeth Rader, PHARMD
• Anneliese Elizabeth Radke, PSYD

• Magnetic Resonance Imaging Radiologic Technologist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Magnetic Resonance Imaging Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.