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MR. ROY L BLANCO APRN,MSN,FNP-C,PA-C
NPI 1417074907
Nurse Practitioner - Family in Stockton, CA

Active since March 22, 2007PECOS EnrolledAccepts Medicare Assignment
7373 WEST LN, STOCKTON, CA 95210(209) 476-2000(916) 887-7920 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 30, 2021, May 11, 2016 (2 updates tracked since 2016).

About Mr. Roy L Blanco Aprn,msn,fnp-c,pa-c NPPES

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

MR. ROY L BLANCO APRN,MSN,FNP-C,PA-C (NPI 1417074907) is an individual family provider in Stockton, California, licensed in California (NP 16596) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1417074907
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. ROY L BLANCOCredential: APRN,MSN,FNP-C,PA-C
Location Address7373 WEST LNStockton, CA 95210-3377
Mailing Address5530 Vintage CirStockton, CA 95219-2510 · (209) 623-8580
Phone(209) 476-2000
Fax(916) 887-7920
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 22, 2007
Last NPPES UpdateMarch 15, 20222 updates tracked since enumeration
NPPES CertifiedMarch 15, 2022
✔ NPI 1417074907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP 16596
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA 19007 (CA)
7373 WEST LN, Stockton, CA 95210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Roy L Blanco Aprn,msn,fnp-c,pa-c 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 ID8628292075
PECOS Enrollment IDI20150908002681
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Roy Blanco reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
Same address
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000
Geriatrics Long Term Care Medical Corporation
1.8 mi
Internal Medicine
1240 ROBINHOOD DRIVE, SUITE A
Stockton, CA 95207
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1952534927 (209) 475-8144
San Joaquin Faculty Medical Group
9.1 mi
Internal Medicine
500 HOSPITAL RD
French Camp, CA 95231
  • Reassigned Medicare billing, California enrollment
  • 512 clinicians in this Medicare group
NPI 1225063761 (209) 473-6555
Shifa Health Center
30 mi
Primary Care
9108 LAGUNA MAIN ST STE 5
Elk Grove, CA 95758
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1609571710 (916) 934-4485

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95210 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

JASDEEP KAUR GILL PHARMD
Pharmacist (Ambulatory Care)
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
DR. SYLVIA FERNANDES M.D.
Physical Medicine & Rehabilitation
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
AMPARO ROMERO-HIRAHARA MD
Pediatrics
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
DHIREN V. NANAVATI MD
Orthopaedic Surgery
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
DR. LUIS CYRUS MONTES DE OCA DO
Psychiatry & Neurology (Psychiatry)
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
MISS ROSARIO AGUIRRE RD
Dietitian, Registered
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-5186
XING-JIAN LU MD
Internal Medicine
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000
DINAH J. HANNA MD
Surgery (Vascular Surgery)
7373 WEST LN
STOCKTON, CA 95210
San Joaquin County (209) 476-2000

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 Roy Blanco's NPI number?

The NPI number for Roy Blanco is 1417074907. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Roy Blanco located?

Roy Blanco practices at 7373 West Ln, Stockton, CA 95210. The listed phone number is (209) 476-2000.

What is Roy Blanco's specialty?

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

Is Roy Blanco enrolled in Medicare?

Yes. Roy Blanco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Roy Blanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roy Blanco reassigns Medicare benefits to 4 organizations: Permanente Medical Group Inc (Stockton, CA), Geriatrics Long Term Care Medical Corporation (Stockton, CA), San Joaquin Faculty Medical Group (French Camp, CA) and Shifa Health Center (Elk Grove, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roy Blanco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roy Blanco was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.