Organization Active NPI

Vladimir Royter, M.D., a Professional Medical Corporation

  • Neurology Physician
  • Hanford, CA
National Provider Identifier
1326404849
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A109062 Issued in CA
Legal business name
VLADIMIR ROYTER, M.D., A PROFESSIONAL MEDICAL CORPORATION
Practice address
125 Mall Dr Ste 209B
Hanford, CA 93230-5794
Phone
(559) 584-9000
NPI assigned
Jan 13, 2016
Last updated
Jan 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Mr. Vladimir Royter, MDNPI 1972734119
Title
President
Phone
(559) 584-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A109062 CA Primary

Addresses

Primary practice location

125 Mall Dr Ste 209B
Hanford, CA 93230-5794

Mailing address

125 Mall Dr Ste 209B
Hanford, CA 93230-5794
Phone (559) 584-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160301002373 CA Part B Supplier - Clinic/Group Practice 7911202866 Receives reassigned benefits from 3 practitioners
Practice locations: Hanford, CA

National Provider Directory

National Provider Directory

Locations

125 Mall Dr
Ste 209B
Hanford, CA 93230
Phone (559) 584-9000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1326404849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MALL DR STE 209B",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305794",
            "telephone_number": "559-584-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MALL DR STE 209B",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305794",
            "telephone_number": "559-584-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VLADIMIR ROYTER, M.D., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "ROYTER",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-584-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A109062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.