Krista Lydia Roybal, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A103600 Issued in CA

Practice address

4520 Executive Dr Ste 225
San Diego, CA 92121-3094

Phone

(858) 202-1822

Fax

(858) 202-4421

NPI assigned

Jul 11, 2006

Last updated

Sep 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2019 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kroybal67690@scrippshlth.medalliesdirect.net

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.

• Roybal MD Chemical Dependence Treatment Inc

  dba True Life Center for Wellbeing

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Diego, CA
  • NPI 1093143430
  NPD (past) Authorized official
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1316971575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR STE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213094",
            "telephone_number": "858-202-1822",
            "fax_number": "858-202-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR STE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213094",
            "telephone_number": "858-202-1822",
            "fax_number": "858-202-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYBAL",
        "first_name": "KRISTA",
        "middle_name": "LYDIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2005-0004",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A103600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "I71227",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Royal Medical Transport
• Mike A Royal, MD JD MBA
• Sara Elizabeth Royal, PMHNP
• Christopher Royalty, OTHER
• Roybal MD Chemical Dependence Treatment Inc (True Life Center for Wellbeing)
• Lindsay Michele Royse
• Linda Royster Cook, AUD
• Ivor Royston, M.D.
• James Royston, RN
• Eric Royz

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.