ROMAN EMMANUEL ACEBEDO NPI 1649102609

NPI Information

  • NPI: 1649102609
  • Provider Name: ROMAN EMMANUEL ACEBEDO
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 20920 CHICO ST
    CARSON, CA
    ZIP 90746
  • Phone: (424) 444-5097

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NPI Details

Roman Emmanuel Acebedo is a gerontology nurse practitioner in Carson, CA. Roman Emmanuel Acebedo NPI is 1649102609. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20920 CHICO ST
CARSON, CA
ZIP 90746-603
Phone: (424) 444-5097

The enumeration date for this NPI number is 6/2/2026 and was last updated on 6/2/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology95039815CALIFORNIAYes

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: 11/21/2025

NPI Synchronization or Removal

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