Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELINE ROQUE
NPI 1093060220
Licensed Vocational Nurse in Garden Grove, CA

Q: What is Jacqueline Roque's NPI number?

The NPI number for Jacqueline Roque is 1093060220. It was assigned to this individual provider in the NPPES registry on July 13, 2012. The provider is also known as Jacqueline Ramos.

Q: What is Jacqueline Roque's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Roque was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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 July 13, 2012

12141 BROOKHURST ST STE 201, GARDEN GROVE, CA 92840(657) 261-7140(714) 922-1032 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2026, Sep 10, 2024, May 31, 2017 (3 updates tracked since 2017).

On this page

About Jacqueline Roque NPPES

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

JACQUELINE ROQUE (NPI 1093060220) is an individual licensed vocational nurse in Garden Grove, California, licensed in California (222317) and active in the NPI registry since July 2012. She maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1093060220

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameJACQUELINE ROQUE

Location Address12141 BROOKHURST ST STE 201Garden Grove, CA 92840-2865

Mailing Address12141 Brookhurst St Ste 201Garden Grove, CA 92840-2865 · (657) 261-7140 · Fax (714) 922-1032

Phone(657) 261-7140

Fax(714) 922-1032

Sole ProprietorNo

Enumeration DateJuly 13, 2012

Last NPPES UpdateSeptember 30, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2026

✔ NPI 1093060220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 222317

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

12141 BROOKHURST ST STE 201, Garden Grove, CA 92840

Open in Google Maps ↗

Other Names 1

Other Name (5)Jacqueline Ramos

Secondary Practice Location 1

Location 11774 Zonal Ave Bldg CLos Angeles, CA 90033-1064 · Phone (310) 221-6336

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.

TAYELOR SHAWN WALLIN

Day Training/Habilitation Specialist