MS. ELIZABETH DIANE ROMAN (NPI# 1063450625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063450625 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH DIANE ROMAN |
| Other Name | ELIZABETH DIANE REYES |
| Credential | P.A. |
| Practice Address |
795 El Camino Real Palo Alto CA 94301-2302 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 6508532984 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA17459 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2715 Santa Ana St, South Gate, CA 902802021 | 3235830450 | 3235830012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851604409 | Elizabeth A Roman | Physical Therapist | 500 Grand Ave, Suite 1, Englewood, NJ 07631-4967 | 2010-07-23 |
| 1255660064 | Elizabeth Roman | Rehabilitation Practitioner | 12450 Van Nuys Blvd, Pacoima Outpatient Cinic Service Suite 201, Pacoima, CA 91331-1391 | 2009-12-08 |
| 1144436841 | Elizabeth Roman | Family Medicine | 63 Ave Munoz Rivera E, Camuy, PR 00627-2630 | 2007-05-16 |
| 1386758209 | Elizabeth Ann Roman | Pharmacist | 5420 Lancaster Dr, Brooklyn Heights, OH 44131-1832 | 2006-08-18 |
| 1194791814 | Elizabeth Roman | Pediatrics | 160 E 32nd St, 2nd Floor, New York, NY 10016-6004 | 2006-02-23 |
| Street Address |
795 EL CAMINO REAL |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94301-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248085 | Wendy Levine | Occupational Therapist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2005-07-07 |
| 1932706637 | Ashley Powell | Occupational Therapist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2020-10-06 |
| 1568069268 | Madeline Manion | Physical Therapist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2020-10-06 |
| 1245847565 | Sandrine Nicolet | Physical Therapist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2020-09-30 |
| 1164058731 | Shannon Tram Anh Trinh | Pharmacist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2020-03-16 |
| 1205460243 | Caitlin Schubmehl | Nurse Practitioner | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2020-02-28 |
| 1518502350 | Odiri Maku | Nurse Practitioner | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2019-11-15 |
| 1841847167 | Rachel Zatkin Kizuka | Registered Nurse | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2019-08-21 |
| 1497300974 | Christopher Duane Asplund | Physical Therapist | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2019-08-02 |
| 1033673991 | Jingyun Yao | Speech-Language Pathologist | 795 El Camino Real, Palo Alto, CA 94301 | 2019-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256430 | Stephen H Smith | Marriage & Family Therapist | 636 Middlefield Road, Palo Alto, CA 94301 | 2020-02-05 |
| 1992367072 | Thomas Mccavitt | Interpreter | Feinberg Medical Clinic, 825 El Camino Real, Palo Alto, CA 94301 | 2019-06-28 |
| 1598321861 | Priyanka Kim Wali, M.d., P.C. | Psychiatry & Neurology | 470 Ramona Street, Palo Alto, CA 94301 | 2019-05-13 |
| 1942716196 | Nancy L Wong | Dermatology | 970 Palo Alto Ave, Palo Alto, CA 94301 | 2017-12-26 |
| 1245751221 | Kurbo Health | Health Educator | 640 Waverley St, Palo Alto, CA 94301 | 2017-06-29 |
| 1023559085 | Michelle Di Montagna | Acupuncturist | 200 California Avenue, Suite 100, Palo Alto, CA 94301 | 2017-03-10 |
| 1265978175 | April Rowe Holman | Psychologist | 667 Lytton Ave. Ste. 5, Palo Alto, CA 94301 | 2017-01-17 |
| 1174975056 | Jeanmarie Barry Cahill | Marriage & Family Therapist | 555 Middle Field Road, Suite 103 B, Palo Alto, CA 94301 | 2016-07-05 |
| 1700247897 | Marie A. Di Pasquale | Allergy & Immunology | 705 Lincoln Avenue, Palo Alto, CA 94301 | 2016-03-16 |
| 1750780128 | Ronces Reyes-pugay | Nurse Practitioner | 795 Elcamino Real, Level 3 Lee Building, Palo Alto, CA 94301 | 2014-08-21 |
| Find all providers in zip 94301 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053763284 | Reilly O Loomis | Physician Assistant | 795 El Camino Real Fl 3, Palo Alto, CA 94301-2302 | 2016-07-12 |
| 1154639623 | Anjali Washington | Physician Assistant | 900 Welch Rd Ste 300, Palo Alto, CA 94304-1800 | 2010-09-18 |
| 1831127646 | Kristan Jan Wheeler | Physician Assistant | 875 Blake Wilbur Dr, Mail Code 5826, Palo Alto, CA 94304-2205 | 2006-06-29 |
| 1720419351 | Adam Mark Seligman | Physician Assistant | 770 Welch Rd Ste 350, Palo Alto, CA 94304 | 2013-12-08 |
| 1417383159 | Shira R Simpson | Physician Assistant | 300 Pasteur Dr, Boswell Clinic A11, Room A104, Palo Alto, CA 94304-2203 | 2013-09-25 |
| 1104132836 | Sally Ann Holland | Physician Assistant | 590 Forest Ave, Palo Alto, CA 94301-2611 | 2010-08-18 |
| 1720248230 | Katherine Baker Harmann | Physician Assistant | 770 Welch Rd Ste 100, Palo Alto, CA 94304-1505 | 2008-06-10 |
| 1356500672 | Sapna Lalwani | Physician Assistant | 795 El Camino Real, Urgent Care, Palo Alto, CA 94301-2302 | 2008-06-02 |
| 1285840215 | Lesli Ann Engelman | Physician Assistant | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2007-05-15 |
| 1972725893 | Antonio Caragay Bondoc | Physician Assistant | 3801 Miranda Avenue, Veterans Administration Palo Alto Healthcare System, Palo Alto, CA 94304-1290 | 2007-05-02 |
| Find all providers in PALO ALTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.