| Roman Gabriel Nepomuceno, MD | |
|
11401 Porter Ranch Dr Apt 6304, Porter Ranch, CA 91326-4645 | |
| (424) 473-3705 | |
| Not Available |
| Full Name | Roman Gabriel Nepomuceno |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 11401 Porter Ranch Dr Apt 6304, Porter Ranch, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417715558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 194636 (California) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 194636 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Roman Gabriel Nepomuceno, MD 11401 Porter Ranch Dr Apt 6304, Porter Ranch, CA 91326-4645 Ph: (424) 473-3705 | Roman Gabriel Nepomuceno, MD 11401 Porter Ranch Dr Apt 6304, Porter Ranch, CA 91326-4645 Ph: (424) 473-3705 |
Renata Selak Stankovic, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 19950 Rinaldi St Ste 300, Porter Ranch, CA 91326 Phone: 818-271-2400 Fax: 818-271-2401 | |
Sue Yeon Chung, MD. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 19950 Rinaldi St, Porter Ranch, CA 91326 Phone: 818-403-2420 | |
Dr. Ira Jeffry Strumpf, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 19801 Falcon Crest Way, Porter Ranch, CA 91326 Phone: 818-366-2030 Fax: 818-366-8504 | |
Jelena Maletkovic, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 19950 Rinaldi St Ste 300, Porter Ranch, CA 91326 Phone: 818-271-2400 | |
Dr. Aswin Nukala, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 11716 Abbey Ln, Porter Ranch, CA 91326 Phone: 314-422-1432 | |
Alaleh Sareh, MD. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 19950 Rinaldi St, Porter Ranch, CA 91326 Phone: 818-403-2420 Fax: 818-360-6036 | |
Dr. Salima Thobani, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 11362 Santini Ln, Porter Ranch, CA 91326 Phone: 310-570-8337 |