MR. BRAD ROELOFS (NPI# 1831363910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831363910 |
| Entity Type | Individual |
| Full Name | MR. BRAD ROELOFS |
| Credential | CCT |
| Practice Address |
27702 Crown Valley Pkwy D4149 Ladera Ranch CA 92694-0608 |
| Mailing Address |
27702 Crown Valley Pkwy # D4-149 Ladera Ranch CA 92694-0608 |
| Practice Telephone | 9494078911 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2016-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246W00000X | Technician, Cardiology | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD ITS | ZZZ42363Z | 01 |
| Street Address |
27702 CROWN VALLEY PKWY D4149 |
| City | LADERA RANCH |
| State | CA |
| Zip Code | 92694-0608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497743850 | Michelle Ann Higley | Anesthesiology | 27702 Crown Valley Pkwy, D4, Ladera Ranch, CA 92694-0608 | 2005-10-11 |
| 1518324334 | Niloufar Hedayat, O.d., Inc. | Optometrist | 27702 Crown Valley Pkwy, Suite A-3, Ladera Ranch, CA 92694-0608 | 2016-01-25 |
| 1679948020 | Mariclaire Gladys Tajonera | Pharmacist | 27702 Crown Valley Pkwy, Suite I, Ladera Ranch, CA 92694-0608 | 2015-12-10 |
| 1982078440 | Sylvia Swiderska-krawczyk | Pharmacist | 27702 Crown Valley Pkwy, Ladera Ranch, CA 92694-0608 | 2015-11-20 |
| 1164804126 | Pejman Eskandani | Pharmacist | 27702 Crown Valley Pkwy, Ladera Ranch, CA 92694-0608 | 2015-06-25 |
| 1831595024 | Summit Medical Group | Internal Medicine | 27702 Crown Valley Pkwy, Suite D4-113, Ladera Ranch, CA 92694-0608 | 2014-11-14 |
| 1740622877 | Securecardio, LLC | Physiological Laboratory | 27702 Crown Valley Pkwy, #d4-150, Ladera Ranch, CA 92694-0608 | 2013-07-17 |
| 1154635126 | David Stanley Mccann | Dentist | 27702 Crown Valley Pkwy, Ste A2, Ladera Ranch, CA 92694-0608 | 2010-08-02 |
| 1982854675 | Gina Lynn Ross | Physical Therapy Assistant | 27702 Crown Valley Pkwy, D-4 #442, Ladera Ranch, CA 92694-0608 | 2008-09-30 |
| 1891904397 | Alberto Gallastegui | Dentist | 27702 Crown Valley Pkwy, Ladera Ranch, CA 92694-0608 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 1932690054 | Lauren Pamela Ramirez | Speech-Language Pathologist | 777 Corporate Dr. Ste #230, Ladera Ranch, CA 92694 | 2018-05-24 |
| 1568985091 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 30551 Gateway Pl, Rancho Mission Viejo, CA 92694 | 2017-07-17 |
| 1730635467 | Ginger Renee Hopkins | Physical Therapist | 2 Newkirk Road, Ladera Ranch, CA 92694 | 2016-09-01 |
| 1003283987 | Vigliarolo, D.d.s. Dental Corp | Dentist | 600 Corporate Dr #220, Ladera Ranch, CA 92694 | 2015-08-27 |
| 1629450358 | Medhat Fahim | Pharmacist | 27702 Crown Vally # B, Ladera Ranch, CA 92694 | 2015-06-18 |
| 1508291436 | Lucas Bingham M.d., Inc. | Dermatology | 600 Corporate Dr Ste 100, Ladera Ranch, CA 92694 | 2013-09-11 |
| 1861770083 | Christina Marie Bowles | Nurse Practitioner | 22 Downing St, Ladera Ranch, CA 92694 | 2011-07-22 |
| 1730499328 | Kimberly Ann Frank | Registered Nurse | 74 Garrison Loop, Ladera Ranch, CA 92694 | 2010-10-15 |
| 1578889390 | Let's Talk Speech & Language Therapy | Speech-Language Pathologist | 7 Merriweather Pl., Ladera Ranch, CA 92694 | 2010-04-19 |
| Find all providers in zip 92694 | ||||
| Taxonomy Code | 246W00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Cardiology |
| An individual who has knowledge of specific techniques, instruments, and equipment required in performing specific cardiovascular/peripheral vascular diagnostic procedures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642442 | Jessica Annmarie Smith | Technician, Cardiology | 6612 Anthony Ave, Garden Grove, CA 92845-2208 | 2020-06-02 |
| 1386267458 | Bernadette Steverson | Technician, Cardiology | 1042 N Mountain Ave # B394, Upland, CA 91786-3695 | 2020-05-24 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1326421181 | Brian Yandolino | Technician, Cardiology | 351 N Kilkea Dr, Los Angeles, CA 90048-2226 | 2015-06-29 |
| 1245630243 | Heartwatch Solutions, Inc. | Technician, Cardiology | 9400 Empire State Dr, Bakersfield, CA 93311-9009 | 2014-08-27 |
| 1184970790 | Tameece C Incle Paisley | Technician, Cardiology | 4850 Dockweiler St, Los Angeles, CA 90019-1730 | 2012-08-01 |
| 1568751980 | Cardiac Health Solutions, LLC | Technician, Cardiology | 26800 Aliso Viejo Pkwy, Suite 125, Aliso Viejo, CA 92656-2625 | 2011-04-06 |
| 1891964987 | Edward D Klinicke | Technician, Cardiology | 27622 Lodestone Trail Dr, Laguna Niguel, CA 92677-4043 | 2008-02-22 |
| 1386856292 | Ambulatory Pacemaker Clinic Inc | Technician, Cardiology | 7678 Zircon Ave, Rancho Cucamonga, CA 91730 | 2007-05-04 |
| 1902935935 | National Cardio Labs | Technician, Cardiology | 17752 Sky Park Cir, Suite 270, Irvine, CA 92614-6419 | 2007-03-05 |
| Find all providers with the same taxonomy | ||||
| City | LADERA RANCH |
| Zip Code | 92694 |
Please comment or provide details below to improve the information on MR. BRAD ROELOFS.
| 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.