Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992338552 Individual Practitioner Male Practitioner

Ralph Kevin Roque , LVN

Licensed Practical Nurse • Inglewood, CA

Professional Overview & Biography Verified Profile Summary

Ralph Roque, LVN is a registered healthcare professional specializing in Licensed Practical Nurse in Inglewood, CA. Practice services are available at 614 W MANCHESTER BLVD, INGLEWOOD, CA 90301 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

614 W Manchester Blvd, Inglewood, Ca 90301
104

Inglewood, CA 90301

Telephone 3104120879
Associated Practice Facility / Clinic
🏢 Aegis Treatment Centers, Llc Facility NPI 1679635361

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Inglewood, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Inglewood, CA (440 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-21
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License CA 279433

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Ciello Santalargo

Counselor - Addiction (Substance Use Disorder)

NPI 1073779120
Marilyn Cazun

Counselor - Addiction (Substance Use Disorder)

NPI 1093976078
Kiara Gumbs

Counselor - Addiction (Substance Use Disorder)

NPI 1114695426
Elizabeth Iniguez

Counselor - Addiction (Substance Use Disorder)

NPI 1124639257
Adolfo Cruz

Counselor - Addiction (Substance Use Disorder)

NPI 1134873334
Jackie Winston

Counselor - Addiction (Substance Use Disorder)

NPI 1154687028

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 21, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2020

Registered at 614 W MANCHESTER BLVD, INGLEWOOD, CA 90301, 104, INGLEWOOD, CA 90301 (Tel: 3104120879)

📍
Updated Business Mailing Address February 21, 2020

Registered at 7246 REMMET AVE, CANOGA PARK, CA 913031531 (Tel: 8182060360)

👤
Provider Name / Credentials Updated February 21, 2020

Recorded as RALPH ROQUE, LVN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2020

Licensed Practical Nurse (License #279433 in CA)

🟢
Initial NPI Registration & Enumeration February 21, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992338552
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2020
Last Update: February 21, 2020
Sole Proprietor: No

Mailing Address

7246 Remmet Ave

Canoga Park, CA 913031531

Phone: 8182060360

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.