Royalty Nephrology Medical Group, Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

ROYALTY NEPHROLOGY MEDICAL GROUP, INC.

Practice address

1900 Royalty Dr
Suite 130
Pomona, CA 91767-3032

Phone

(909) 623-1561

Fax

(909) 629-1418

NPI assigned

Apr 13, 2006

Organization subpart

No

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

Authorized official

Name

Victor L Pappoe, MD

Title

MD/President

Phone

(909) 623-1561

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2708/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Akhenaton Pappoe, M.D

  • Internal Medicine Physician
  • Pomona, CA
  • NPI 1972703114
  Medicare reassignment
• Samuel S Liu, MD

  • Nephrology Physician
  • Downey, CA
  • NPI 1912935628
  NPD (past)
• Lamioko S Pappoe, M.D.

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1356312953
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1245294644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ROYALTY DR",
            "address_2": "SUITE 130",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673032",
            "telephone_number": "909-623-1561",
            "fax_number": "909-629-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ROYALTY DR",
            "address_2": "SUITE 130",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673032",
            "telephone_number": "909-623-1561",
            "fax_number": "909-629-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALTY NEPHROLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "PAPPOE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "909-623-1561",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgmin Rostomian
• Nicole Roth, PT
• Graciela M Rougier
• Jessica Lauren Rouman
• Simi Tina Roy, M.D., M.P.H.
• Royalty Pharmacy, Inc.
• Royalty Pharmacy, Inc.
• Royalty Radiation Oncology Medical Group Inc.
• Royalty Surgical Center, LLC
• Delaney Rozich

• Nephrology Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.