Ivor Royston, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G20974 Issued in CA

Practice address

9393 Towne Centre Dr
Suite 200
San Diego, CA 92121-3070

Phone

(858) 964-5004

Fax

(858) 362-1051

NPI assigned

Apr 16, 2012

Last updated

Apr 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1174880074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9393 TOWNE CENTRE DR",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213070",
            "telephone_number": "858-964-5004",
            "fax_number": "858-362-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9393 TOWNE CENTRE DR",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213070",
            "telephone_number": "858-964-5004",
            "fax_number": "858-362-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYSTON",
        "first_name": "IVOR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G20974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Royalty, OTHER
• Roybal MD Chemical Dependence Treatment Inc (True Life Center for Wellbeing)
• Krista Lydia Roybal, MD
• Lindsay Michele Royse
• Linda Royster Cook, AUD
• James Royston, RN
• Eric Royz
• Norman M Rozansky, MD
• Benjamin Willis Rozeboom, IDC
• Laura Rozell

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.