Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Roy L Blanco, APRN, MSN, FNP-C, PA-C

Individual provider Physician Assistant · NPI 1417074907

Mr. Roy L Blanco, APRN, MSN, FNP-C, PA-C is a Nurse Practitioner in Stockton, California. Qualified in 2006, 20 years ago. Practices with Geriatrics Long Term Care Medical Corporation, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7373 W Ln
Stockton, CA 95210-3377
Phone: (209) 476-2000
Fax: (916) 887-7920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP 16596 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA 19007 (CA)

Record details

NPI number1417074907
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , MSN , FNP-C , PA-C
Sole proprietorNo
NPI enumeratedMarch 22, 2007
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Geriatrics Long Term Care Medical Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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