Active NPI
Afra M Roet, P.A.
- Physician Assistant
- National City, CA
National Provider Identifier
1962548263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11803
- Practice address
- 2743 Highland Ave
National City, CA 91950-7410 - Phone
- (619) 474-2284
- Fax
- (619) 474-3919
- NPI assigned
- Jan 30, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11803 | CA | Primary |
Addresses
Primary practice location
2743 Highland Ave
National City, CA 91950-7410
Mailing address
1250 Cleveland Ave
305
San Diego, CA 92103-7300
Phone (619) 300-1320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA11803 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA11803 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314576000000",
"number": "1962548263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 CLEVELAND AVE",
"address_2": "305",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921037300",
"telephone_number": "619-300-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2743 HIGHLAND AVE",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919507410",
"telephone_number": "619-474-2284",
"fax_number": "619-474-3919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROET",
"first_name": "AFRA",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2011-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA11803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA11803",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.