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ROLAND MALDONADO
NPI 1356209365
Nurse Practitioner - Family in Cypress, CA

Active since January 10, 2026PECOS Enrolled
5155 KATELLA AVE APT 141, CYPRESS, CA 90720(626) 264-3601 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Apr 27, 2026, Jan 10, 2026 (2 updates tracked since 2026).

About Roland Maldonado NPPES

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

ROLAND MALDONADO (NPI 1356209365) is an individual family provider in Cypress, California, licensed in California (95291495) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356209365
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameROLAND MALDONADO
Location Address5155 KATELLA AVE APT 141Cypress, CA 90720-2903
Mailing Address5155 Katella Ave Apt 141Cypress, CA 90720-2903
Phone(626) 264-3601
Sole ProprietorYes
Enumeration DateJanuary 10, 2026
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1356209365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95291495
5155 KATELLA AVE APT 141, Cypress, CA 90720
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Other Names 1

Other Name (5)Clark Roland Maldonado

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roland Maldonado is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roland Maldonado's NPI number?

The NPI number for Roland Maldonado is 1356209365. It was assigned to this individual provider in the NPPES registry on January 10, 2026. The provider is also known as Clark Roland Maldonado.

Where is Roland Maldonado located?

Roland Maldonado practices at 5155 Katella Ave Apt 141, Cypress, CA 90720. The listed phone number is (626) 264-3601.

What is Roland Maldonado's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Roland Maldonado enrolled in Medicare?

Yes. Roland Maldonado is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roland Maldonado was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.