Active NPI
Richard Roybal
- Driver
- Arcata, CA
National Provider Identifier
1205448024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- B4707618
- Practice address
- 4514 Valley West Blvd Apt a
Arcata, CA 95521-4685 - Phone
- (707) 407-9167
- NPI assigned
- Aug 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | B4707618 | CA | Primary |
Addresses
Primary practice location
4514 Valley West Blvd Apt a
Arcata, CA 95521-4685
Mailing address
PO Box 2842
McKinleyville, CA 95519-2842
Phone (707) 407-9167
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B4707618 | CA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humboldt Appointment Transport LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Arcata, CA
- NPI 1760080618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1205448024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2842",
"city": "MCKINLEYVILLE",
"state": "CA",
"postal_code": "955192842",
"telephone_number": "707-407-9167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4514 VALLEY WEST BLVD APT A",
"city": "ARCATA",
"state": "CA",
"postal_code": "955214685",
"telephone_number": "707-407-9167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYBAL",
"first_name": "RICHARD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-21",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "B4707618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.