Individual provider Active NPI

Roxanne Melaine Fiatoa, EMT

  • Basic Emergency Medical Technician
  • Turlock, CA
National Provider Identifier
1962042267
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
E120396 Issued in CA
Practice address
500 W F St
Turlock, CA 95380-5963
Phone
(209) 668-5972
Fax
(209) 656-5636
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X E120396 CA Primary

Addresses

Primary practice location

500 W F St
Turlock, CA 95380-5963

Mailing address

500 W F St
Turlock, CA 95380-5963
Phone (209) 668-5972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
E120396CAMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Health Centers of California, a Medical Corporation CurrentSince Feb 9, 2020 Accepting new patients

Locations

500 W F St
Turlock, CA 95380
Phone (209) 568-1861

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1962042267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W F ST",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953805963",
            "telephone_number": "209-668-5972",
            "fax_number": "209-656-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W F ST",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953805963",
            "telephone_number": "209-668-5972",
            "fax_number": "209-656-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIATOA",
        "first_name": "ROXANNE",
        "middle_name": "MELAINE",
        "credential": "EMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "E120396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.