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NPI Code Detail

MEDICARE: PETER ROCA M.D.

MEDICARE: PETER ROCA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianA42841CA

General Provider Information

NPI Number : 1659449379
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER ROCA M.D.
Provider Business Mailing Address
First Line : 220 S PALISADE DR STE 203
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-8903
Country : US
Telephone Number : 805-354-7101
Fax Number : 805-354-7102
Provider Business Practice Location Address
First Line : 220 S PALISADE DR STE 203
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-8903
Country : US
Telephone Number : 805-354-7101
Fax Number : 805-354-7102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 12/28/2022

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Directions to “ PETER ROCA M.D.” Practice Location

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