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GUSTAVO TOSHIO ROLDAN P.A.-C
NPI 1699985705
Physician Assistant in Baldwin Park, CA

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
3942 MAINE AVE, BALDWIN PARK, CA 91706(626) 678-9296(626) 678-9294 Get Directions Write a Review

NPPES record last updated: September 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gustavo Toshio Roldan P.a.-c NPPES

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

GUSTAVO TOSHIO ROLDAN P.A.-C (NPI 1699985705) is an individual physician assistant in Baldwin Park, California, licensed in California (PA 19149) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1699985705
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGUSTAVO TOSHIO ROLDANCredential: P.A.-C
Location Address3942 MAINE AVEBaldwin Park, CA 91706-4220
Mailing Address3942 Maine AveBaldwin Park, CA 91706-4220 · (626) 678-9296 · Fax (626) 678-9294
Phone(626) 678-9296
Fax(626) 678-9294
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 23, 2007
Last NPPES UpdateSeptember 18, 2019
✔ NPI 1699985705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA 19149
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3942 MAINE AVE, Baldwin Park, CA 91706
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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

Gustavo Toshio Roldan P.a.-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 ID648369116
PECOS Enrollment IDI20071205000707
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
30 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91706 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers17 claims23 services$4.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EL PROYECTO DEL BARRIO, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
3942 MAINE AVE
BALDWIN PARK, CA 91706
Los Angeles County (626) 678-9296

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 Gustavo Roldan's NPI number?

The NPI number for Gustavo Roldan is 1699985705. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Gustavo Roldan located?

Gustavo Roldan practices at 3942 Maine Ave, Baldwin Park, CA 91706. The listed phone number is (626) 678-9296.

What is Gustavo Roldan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gustavo Roldan enrolled in Medicare?

Yes. Gustavo Roldan 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 Gustavo Roldan was last updated on September 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.