Katherine Nicole San Roman, LVN is a
Licensed Practical Nurse based in San Jacinto, California. Katherine Nicole San Roman is licensed to practice in California (license number 283211) and her current practice location is
2220 Girard St, San Jacinto, California. She can be reached at her office (for appointments etc.) via phone at
(951) 683-6596.
NPI number for Katherine Nicole San Roman is 1669933198 and her current mailing address is 11483 Aaron Ave, Beaumont, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669933198.
Provider's Profile
Full Name | Katherine Nicole San Roman |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 2220 Girard St, San Jacinto, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669933198
- Provider Enumeration Date: 03/27/2019
- Last Update Date: 03/27/2019
Medical Identifiers
Medical identifiers for Katherine Nicole San Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669933198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 283211 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine Nicole San Roman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Katherine Nicole San Roman, LVN 11483 Aaron Ave, Beaumont, CA 92223-6263 Ph: (909) 693-6209 | Katherine Nicole San Roman, LVN 2220 Girard St, San Jacinto, CA 92583-5301 Ph: (951) 683-6596 |
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