Physician Profile
Roxanne Talamayan-Pascua, MD
Unclaimed ProfileAbout Dr. Talamayan-Pascua
Roxanne Talamayan-Pascua, MD practices hospice/palliative care in Fresno, CA. Roxanne is a 2020 graduate of University of California, Irvine, California College of Medicine. Roxanne is also listed as specializing in student in an organized health care education program and family medicine. Medicare claims data shows Roxanne provided 282 services to 199 patients. The services billed most often include advance care planning, first 30 minutes, advance care planning, each additional 30 minutes, and initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes. The provider's National Provider Identifier (NPI) is 1245869601.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (559) 499-6466
- Email not available
Practice Locations
155 N FRESNO ST
Fresno, CA 93701
400 W Mineral King Ave
Visalia, CA 93291
Conditions Commonly Evaluated or Treated
Within Hospice and Palliative Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Cancer Care
Cancer Pain
Chronic Illness
Digestive & Nutrition
End of Life Symptoms
Fluid & Swelling
Lung Conditions
Mental Health
Mouth & Throat
Nerve & Pain
Neurological
- Advanced Dementia
- Advanced Huntington's Disease
- Advanced Multiple Sclerosis
- Advanced Parkinson's Disease
- Amyotrophic lateral sclerosis
- Muscle Twitches And Spasms
- Severe Stroke Complications
- Tumor Pressing On Spinal Cord
- Unresponsiveness
Nutrition & Digestion
- Bowel Obstruction In Cancer
- Cancer Treatment Side Effects and Nutrition
- Constipation From Pain Medicine
- Severe Weight Loss And Wasting
- Swallowing difficulties
Pain & Symptoms
- Ascites
- Cancer-related fatigue
- Fluid around the lungs
- Lymphedema
- Severe Cancer Pain
- Shortness of breath
Skin & Wound
Skin Conditions
Sleep & Mental Health
Urinary & Bowel
Wound Care
Procedures & services
Breathing Support
Care Planning
- Advance Care Planning
- DNR Orders Discussion
- Medical Power Of Attorney Setup
- POLST Or DNR Consultation
- Stopping Tube Feeding Discussion
Catheter & Line Care
Consultations
Counseling & Support
End of Life Care
Fluid Drainage
Hospice Care
Hospice Services
Medication Management
- Deprescribing consultation
- Hospice Emergency Comfort Kit
- Post-Op Nausea Prevention and Treatment
- Subcutaneous Butterfly Line Placement
- Tapering Off Psychiatric Medication
Pain Management
- Celiac plexus block
- Pain pump implant
- Palliative radiation for bone pain
- Patient-Controlled Pain Pump
- Rib nerve block
Personal Care
Rehabilitation & Mobility
Specialized Care
Support Services
- Family therapy
- Hospice Volunteer Companion Visits
- Hospital Bed And Equipment Setup At Home
- Respite Care For Families
Wound Care
Procedures Most Often Billed to Medicare
282 services · 199 patients · 6 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Advance care planning, first 30 minutes | Office visit | 99497 |
82 | More often than most peers in Hospice/Palliative Care |
| Advance care planning, each additional 30 minutes | Office visit | 99498 |
73 | More often than most peers in Hospice/Palliative Care |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
50 | As often as other peers in Hospice/Palliative Care |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
34 | Less often than most peers in Hospice/Palliative Care |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Office visit | 99233 |
31 | Less often than most peers in Hospice/Palliative Care |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
12 | Less often than most peers in Hospice/Palliative Care |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other hospice/palliative cares in Fresno 7
Same specialty, same city.
Trained at University of California, Irvine, California College of Medicine 7
Other providers in the same specialty who trained at the same institution.
More connections — 8 related providers in 1 group
Class of 2020 at University of California, Irvine, California College of Medicine 8
Providers who graduated from the same medical school in the same year.
Common questions
What is Dr. Talamayan-Pascua's specialty?
Dr. Talamayan-Pascua is a hospice/palliative care in Fresno, CA. That is the designation recorded for this NPI in the federal registry.
NPI registry
Where can I find Dr. Talamayan-Pascua?
Dr. Talamayan-Pascua is listed at 155 N Fresno St, Fresno, CA 93701. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How do I contact Dr. Talamayan-Pascua?
The number on file is (559) 499-6466. Contact the office directly to confirm availability and scheduling.
NPI registry
What is the NPI for Dr. Talamayan-Pascua?
Dr. Talamayan-Pascua's National Provider Identifier is 1245869601. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
What is Dr. Talamayan-Pascua's medical education?
Dr. Talamayan-Pascua attended University of California, Irvine, California College of Medicine, graduating in 2020. This comes from the CMS National Downloadable File.
CMS public data
How much experience does Dr. Talamayan-Pascua have?
Dr. Talamayan-Pascua has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.
CMS public data
What is Dr. Talamayan-Pascua known for?
According to Medicare billing data, Dr. Talamayan-Pascua the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Is Dr. Talamayan-Pascua's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Talamayan-Pascua. If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.