Individual provider Active NPI

Charlotte Roy, M.D.

  • Emergency Medicine Physician
  • Glendale, CA
National Provider Identifier
1295184695
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A172019 Issued in CA
Practice address
1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone
(818) 790-7100
NPI assigned
Jun 7, 2016
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A172019 CA Primary
Emergency Medicine Physician 207P00000X 125069033 IL

Addresses

Primary practice location

1812 Verdugo Blvd
Glendale, CA 91208-1407

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (626) 457-6601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 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
I20190814003498 NY Practitioner - Emergency Medicine 7517259179 Reassigns benefits to 2 organizations
I20210714001563 CA Practitioner - Emergency Medicine 7517259179 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A172019CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden West Emergency Medical Associates, Inc Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Usc Care Medical Group, Inc CurrentSince Oct 1, 2022 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jul 2, 2019 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Aug 16, 2021 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Trustees of Columbia University in the City of New York Emergency Medicine CurrentSince Jul 2, 2019 Accepting new patients
Michael S. Agron, M.D., Inc. Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Oct 1, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm Emergency Medicine CurrentSince Aug 16, 2021 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jul 2, 2019 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Keck Medical Center of Usc Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1812 Verdugo Blvd
Glendale, CA 91208
Phone (818) 246-8000

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

28078 Baxter Rd
Murrieta, CA 92563
Phone (760) 533-4541

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1295184695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "626-457-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 VERDUGO BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081407",
            "telephone_number": "818-790-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "CHARLOTTE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A172019",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125069033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.