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GUNNAR ROLL PA NPI 1710917018


NPI Information

NPI: 1710917018
Provider Name: GUNNAR ROLL, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
75 NIELSON STREET
WATSONVILLE, CA
ZIP 95076
Phone: (408) 724-4741
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Gunnar Roll, PA is a medical physician assistant in Watsonville, CA with 22 years of experience. Gunnar Roll, PA NPI is 1710917018. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

75 NIELSON STREET
WATSONVILLE, CA
ZIP 95076
Phone: (408) 724-4741

The NPI 1710917018 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Partial removal of spine bone with release of spinal cord and/or nerves (HCPCS:63048)
  • Partial removal of middle spine bone with release of spinal cord and/or nerves (HCPCS:63047)
  • Insertion of device into intervertebral disc space of spine and fusion of vertebrae (HCPCS:22853)

The enumeration date for this NPI number is 7/3/2006 and was last updated on 12/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA12560CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PA16537MEDICAIDCALIFORNIA
2P74695MEDICARE UPINCALIFORNIA
3AW413ZMEDICARE PINCALIFORNIA
4Q67980MEDICARE UPIN
50PA165370MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.