Physician Compare National (NPI:1699820688)

HEALTHCARE PROVIDER: JOHN A ROEFS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1699820688
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143382119
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081230000004
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROEFS
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	KERN RADIOLOGY MEDICAL GROUP INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7214826460
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	30
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2301 BAHAMAS DR
	Group Practice or individual's line 1 address
City	BAKERSFIELD
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	933090663
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6613269600
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050036
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAKERSFIELD MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050295
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y