Individual provider Active NPI

Tapan Roy, M.D.

  • Radiation Oncology Physician
  • Tustin, CA
National Provider Identifier
1205831922
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
C51244 Issued in CA
Practice address
14662 Newport Ave
Tustin, CA 92780-6064
Phone
(714) 573-9500
NPI assigned
Jun 17, 2005
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X R4B37 MO
Radiation Oncology Physician 2085R0001X C51244 CA Primary

Addresses

Primary practice location

14662 Newport Ave
Tustin, CA 92780-6064

Mailing address

7330 Hickorywood LN
Pleasanton, CA 94566-3584
Phone (314) 504-2009

Other identifiers 3

IdentifierTypeStateIssuer
483437OtherMOHEALTHLINK PROVIDER ID
165953OtherMOBLUE CROSS PROVIDER ID
201528114MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140204000441 CA Practitioner - Radiation Oncology 2365439635 Reassigns benefits to 4 organizations
I20170627002094 WA Practitioner - Radiation OncologyPractitioner - Diagnostic Radiology 2365439635 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen William Doggett MD PAGroup PAC ID 9830235217, 5 clinicians
Folsom DermatologyGroup PAC ID 1052576493, 6 clinicians

Practice addresses (Care Compare)

14642 Newport Ave
Suite 470
Tustin, CA 92780-6063
Phone (714) 573-9500

1745 Creekside Dr
Folsom, CA 95630-3924
Phone (916) 983-2302

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
77.42
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C51244CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tapan Roy MD PC Radiation Oncology CurrentSince Dec 26, 2002 Accepting new patients
Minarets Medical Group, Inc. CurrentSince Apr 1, 2018 Accepting new patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
Grossmont Dermatology Medical Clinic CurrentSince Apr 11, 2018 Accepting new patients
Stephen William Doggett, M.D. PA Radiation Oncology CurrentSince Apr 11, 2018 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jun 27, 2022 Accepting new patients
Spokane Dermatology Clinic PS CurrentSince Jun 1, 2017 Accepting new patients
Folsom Dermatology CurrentSince Apr 1, 2018 Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Jun 27, 2022 Accepting new patients
Dermahealth Dermatology, PLLC CurrentSince Apr 1, 2018 Accepting new patients
Veena Srinivas LLC Radiation Oncology Past Accepting new patients
Cancer Institute of Cape Girardeau, LLC PastSince Jul 1, 2008 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Kingman Healthcare, Inc Family Medicine Past Accepting new patients
Compassionate Cancer Care Radiation Diagnostics Group Inc Radiation Oncology Past Accepting new patients

Locations (25 of 37)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

774 East Ave
Chico, CA 95926
Phone (530) 774-2650

3100 Dublin Blvd
Dublin, CA 94568
Phone (925) 556-4200

1745 Creekside Dr
Folsom, CA 95630
Phone (916) 983-2302

1340 W Herndon Ave
Ste 101
Fresno, CA 93711
Phone (559) 438-1324

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

325 Mall Dr
Ste 111
Hanford, CA 93230
Phone (559) 583-7546

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

8860 Center Dr
Ste 300
La Mesa, CA 91942
Phone (619) 462-1670

5900 W Olympic Blvd
Los Angeles, CA 90036
Phone (310) 267-2680

296 Cottage Ave
Manteca, CA 95336
Phone (209) 239-2901

20341 SW Birch St
Ste 330
Newport Beach, CA 92660
Phone (949) 490-4820

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

573 W Putnam Ave
Porterville, CA 93257
Phone (559) 627-9901

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

230 W Pueblo St
Fl 2
Santa Barbara, CA 93105
Phone (714) 573-9500

5333 Hollister Ave
Ste 105
Santa Barbara, CA 93111
Phone (805) 439-6871

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

5757 Pacific Ave
Ste 228
Stockton, CA 95207
Phone (209) 473-3650

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

Interoperability endpoints

  • Direct secure messaging: troy16545@surescripts.sfmc.net

Organizations & group practices 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1205831922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 HICKORYWOOD LN",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945663584",
            "telephone_number": "314-504-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14662 NEWPORT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806064",
            "telephone_number": "714-573-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "TAPAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "R4B37",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "C51244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROVIDER ID",
            "identifier": "483437",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "165953",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201528114",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3100 Dublin Blvd",
            "city": "Dublin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.