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

ROXANE RONCAROLO DE VRIES
NPI 1497402184
Nurse Practitioner - Women's Health in San Diego, CA

Q: What is Roxane Roncarolo De Vries's NPI number?

The NPI number for Roxane Roncarolo De Vries is 1497402184. It was assigned to this individual provider in the NPPES registry on March 3, 2022.

Q: What is Roxane Roncarolo De Vries's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Active since March 03, 2022PECOS Enrolled

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2023, Mar 3, 2022 (2 updates tracked since 2022).

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About Roxane Roncarolo De Vries NPPES

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

ROXANE RONCAROLO DE VRIES (NPI 1497402184) is an individual women's health provider in San Diego, California, licensed in California (95020083) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains 11 additional practice locations.

NPPES Registry Identity

NPI1497402184

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameROXANE RONCAROLO DE VRIES

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273

Phone(800) 926-8273

Fax(888) 539-8781

Sole ProprietorNo

Enumeration DateMarch 3, 2022

Last NPPES UpdateJune 16, 20262 updates tracked since enumeration

NPPES CertifiedJune 16, 2026

✔ NPI 1497402184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in CA · 95020083

200 W ARBOR DR, San Diego, CA 92103

Open in Google Maps ↗

Secondary Practice Locations 11

Location 18480 Enterprise WayOakland, CA 94621-1318 · Phone (510) 746-4700

Location 22210 Mesa Dr Ste 5Oceanside, CA 92054-3701 · Phone (760) 736-8700

Location 34910 Directors Pl Ste 200San Diego, CA 92121-3814 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 416950 Via TazonSan Diego, CA 92127-1607 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 51200 Garden View RdEncinitas, CA 92024-2477 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 63750 Convoy St Ste 312San Diego, CA 92111-3741 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 78910 Villa La Jolla DrLA Jolla, CA 92037-1701 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 89333 Genesee Ave Ste 150San Diego, CA 92121-2134 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 96030 Village Way Ste 200San Diego, CA 92130-2973 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 104168 Front StSan Diego, CA 92103-2030 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 119300 Campus Point DrLA Jolla, CA 92037-1300 · Phone (800) 926-8273 · Fax (888) 539-8781

Other Identifiers 1

Other1497402184CA · Npi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roxane Roncarolo De Vries 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 92103 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

DR. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)