Garrick Roshau, LPT
Licensed Psychiatric Technician · Campbell
- Medicare standing
- 3 flags on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
- California licence: Delinquent
- 2 Medical Board actions on record
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Garrick Roshau’s office at (408) 379-3790 to ask if they take your plan before you enroll.
California Medical Board record
Licence A36089 · Delinquent
Licence status: Delinquent · since 1980 · expires 2024-11-30 · University of the Punjab, King Edward Medical College.
License renewal fee has not been paid. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
Public record actions
| 1995-11-16 | Board disciplineDiscipline | Revoked. · 16 1994038971 |
| 1994-10-13 | Action in another state or by a federal agencyDiscipline | Consent order - five years probation with terms and conditions. · Louisiana state board of medical examiners |
Professional record
- NPI
- 1477890101
- Licence
- CA 36089California A36089: Delinquent · expires 2024-11-30
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 167G00000X (167G00000X)
- Mailing address
- 251 Llewellyn Ave, Campbell, CA, 95008
- NPI first listed
- 2013-01-15
- NPI last updated
- 2021-02-01
- NPI record certified
- 2021-01-14
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 18217 Hale Ave, Morgan Hill, CA, 95037