Individual provider Active NPI

Roy Nattiv, MD

  • Pediatric Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1023313772
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
A116897 Issued in CA
Practice address
2110 Fox Hills Dr
Los Angeles, CA 90025-6005
Phone
(310) 844-1194
Fax
(310) 844-9166
NPI assigned
Jan 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N8431 TX
Pediatrics Physician 208000000X A116897 CA
Pediatric Gastroenterology Physician 2080P0206X A116897 CA Primary

Addresses

Primary practice location

2110 Fox Hills Dr
Los Angeles, CA 90025-6005

Mailing address

1760 Termino Ave Ste 300
Long Beach, CA 90804-2157
Phone (562) 933-3009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N8431TXMDPediatrics Physician
A116897CAMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roy Nattiv, MD Inc. Pediatric Gastroenterology CurrentSince Jun 23, 2025 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Childrens Gastroenterology MCSG Pediatric Gastroenterology Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rnattiv261290@direct.memorialcare.org
  • Direct secure messaging: roy.nattiv.1@11920.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1023313772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE STE 300",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042157",
            "telephone_number": "562-933-3009",
            "fax_number": "562-933-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 FOX HILLS DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256005",
            "telephone_number": "310-844-1194",
            "fax_number": "310-844-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATTIV",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-11",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N8431",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A116897",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "CA",
            "license": "A116897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.