MEDICARE: CARMEN ROMAN 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
1	2084P0804X	Child & Adolescent Psychiatry Physician	A35997	CA
2	2084P0800X	Psychiatry Physician	A35997	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831249572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN ROMAN M.D.

Provider Business Mailing Address
First Line	:	3026 CADENCIA ST
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92009-8307
Country	:	US
Telephone Number	:	760-317-8494
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 VETERANS BLVD STE 217
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94063-1401
Country	:	US
Telephone Number	:	650-465-3129
Fax Number	:	650-260-2953

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	05/16/2025

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Directions to “ CARMEN ROMAN M.D.” Practice Location

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