MR. ROY L BLANCO APRN,MSN,FNP-C,PA-C
NPI 1417074907
Nurse Practitioner - Family in Stockton, CA
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
Specialties & Licenses 2
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
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.
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.
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.
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.
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.
# Mr. Roy L Blanco, APRN,MSN,FNP-C,PA-C · NPI 1417074907
Family physician in Stockton, California. Individual provider, active in the CMS NPPES registry since March 22, 2007.
## Identity
- **NPI:** 1417074907 (Entity type: Individual)
- **Enumerated:** March 22, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP 16596 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 7373 WEST LN, Stockton, CA 95210-3377
- **Phone:** (209) 476-2000 · **Fax:** (916) 887-7920
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** March 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1417074907) · Data from the CMS NPPES public registry.