MS. ELIZABETH DIANE ROMAN P.A.
NPI 1063450625
Physician Assistant - Medical in Palo Alto, CA

Q: What is Elizabeth Roman's NPI number?

The NPI number for Elizabeth Roman is 1063450625. It was assigned to this individual provider in the NPPES registry on June 3, 2006. The provider is also known as Elizabeth Diane Reyes P.A..

Q: What is Elizabeth Roman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Roman was last updated on May 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment

795 EL CAMINO REAL, PALO ALTO, CA 94301(650) 853-2984 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2020, Feb 18, 2020 (2 updates tracked since 2020).

On this page

About Ms. Elizabeth Diane Roman P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ELIZABETH DIANE ROMAN P.A. (NPI 1063450625) is an individual medical provider in Palo Alto, California, licensed in California (PA17459) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in South Gate, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1063450625

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. ELIZABETH DIANE ROMANCredential: P.A.

Location Address795 EL CAMINO REALPalo Alto, CA 94301-2302

Mailing Address325 Distel CirLos Altos, CA 94022-1408

Phone(650) 853-2984

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 3, 2006

Last NPPES UpdateMay 29, 20202 updates tracked since enumeration

NPPES CertifiedMay 29, 2020

✔ NPI 1063450625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA17459

795 EL CAMINO REAL, Palo Alto, CA 94301

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Other Names 1

Other Name (5)Elizabeth Diane Reyes P.a.

Secondary Practice Location 1

Location 12715 Santa Ana StSouth Gate, CA 90280-2021 · Phone (323) 583-0450 · Fax (323) 583-0012

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Elizabeth Diane Roman P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365487311

PECOS Enrollment IDI20050621000919

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

81 services50 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

53 services47 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

23 services22 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

12 services12 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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