Provider Information

Last Updated : Sep 15 2025 11:06 AM

Jason D Roos




City
Fresno
Group
Direct Network: Tulare
Specialty
Otolaryngology
Last Name
Roos
First Name
Jason
Middle Name
D
Address
1680 E. Herndon Ave. Ste 102
State
CA
Zip Code
93720
Phone
(559)401-6058
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
M
Title
D.O.
Physician ID
262234
Language 1
English
Language 2
Spanish
Extender 1 Last Name
Hultin
Extender 1 First Name
Michael
Extender 1 Middle Name
P
Extender 1 License Type
NP
Extender 2 Last Name
Carr
Extender 2 First Name
Corey
Extender 2 License Type
P.A.
Section Number
4
County
FRESNO
Accepting New Patient
Yes
PPG NAME
Direct Network: Tulare
PPG ID
MTUDN
NPI Number
1205147659
License ID
20A18178
Board Certified
No
Panel Status
Available by referral only
PHY CCT IND
N

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