Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Douglas Lee Roen, PA

Individual provider Surgical Physician Assistant · NPI 1457498453

Douglas Lee Roen, PA is a Surgical Physician Assistant in Oakland, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

275 W Macarthur Blvd
Oakland, CA 94611-5641
Phone: (510) 752-1000
Fax: (510) 752-6674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 16016 (CA)

Record details

NPI number1457498453
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESJanuary 3, 2022

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