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Export Provider Record NPI 1164695409
Jennifer Jane RoelandsMD
Active
NPI Number1164695409
NPI TypeNPI-1 Individual
SpecialtyObstetrics & Gynecology
Provider Details
NPI1164695409
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2008-04-08
Last Updated2024-06-20
Mailing Address1830 Calle Don Guillermo
La Habra, CA 90631-7616
United States
Phone: (573) 355-6835
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Primary Practice Address301 W Bastanchury Rd Ste 140
Fullerton, CA 92835-3427
United States
Phone: (714) 272-3477
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207VG0400X – Obstetrics & Gynecology, GynecologyCAC169554
Yes207V00000X – Obstetrics & GynecologyMO2008013765
No207V00000X – Obstetrics & GynecologyARC169555
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About NPI 1164695409

Jennifer Jane Roelands MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1164695409. The primary specialty listed is Obstetrics & Gynecology. The provider is located in Fullerton, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-04-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1164695409?

NPI 1164695409 belongs to Jennifer Jane Roelands MD, a Obstetrics & Gynecology in Fullerton, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1164695409 active?

The current status of NPI 1164695409 in the NPPES registry is Active. The record was last updated on 2024-06-20.

What specialty is NPI 1164695409?

NPI 1164695409 is classified under the taxonomy Obstetrics & Gynecology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1164695409?

You can verify NPI 1164695409 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1164695409?

The primary practice address on file for NPI 1164695409 is 301 W Bastanchury Rd Ste 140, Fullerton, CA 92835-3427. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1164695409 issued?

NPI 1164695409 was first issued (enumerated) on 2008-04-08. The NPPES record was last updated on 2024-06-20.

Practice Location Map

Jennifer Jane Roelands is located at 301 W Bastanchury Rd Ste 140, Fullerton, CA. Use the map below to find directions or verify the practice location.

📍 301 W Bastanchury Rd Ste 140, Fullerton, CA 92835-3427  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Jennifer Jane Roelands. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1164695409. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Obstetrics & Gynecology, GynecologyC169554CA
Obstetrics & Gynecology2008013765MO
Obstetrics & GynecologyC169555AR
Data Verified from CMS NPPES Last synced: 2026-07-08 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162