Active NPI
Roy Elevazo & Associates, Inc.
- Psychiatric/Mental Health Nurse Practitioner
- Lakewood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ROY ELEVAZO & ASSOCIATES, INC.
- Practice address
- 5220 Clark Ave Ste 400
Lakewood, CA 90712-2625 - Phone
- (562) 804-3575
- Fax
- (562) 286-8123
- NPI assigned
- Jun 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roy Allan O Elevazo, MSN, PMHNP-BC
- Title
- President/Ceo
- Phone
- (562) 804-3575
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
5220 Clark Ave Ste 400
Lakewood, CA 90712-2625
Mailing address
3553 Atlantic Ave # 253
Long Beach, CA 90807-5606
Phone (562) 684-8134
Other names 1
- Royal Institute of Psychiatry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5220 Clark Ave
Ste 400
Lakewood, CA 90712
Phone (562) 804-3575
5220 Clark Ave
Lakewood, CA 90712
Phone (562) 735-4037
3553 Atlantic Ave
#253
Long Beach, CA 90807
Phone (562) 804-3575
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lakewood, CA
- NPI 1427489483
-
- Marriage & Family Therapist
- Whittier, CA
- NPI 1447976626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1346924420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3553 ATLANTIC AVE # 253",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908075606",
"telephone_number": "562-684-8134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5220 CLARK AVE STE 400",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907122625",
"telephone_number": "562-804-3575",
"fax_number": "562-286-8123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROY ELEVAZO & ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-09",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A",
"authorized_official_last_name": "ELEVAZO",
"authorized_official_first_name": "ROY ALLAN",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "562-804-3575",
"authorized_official_credential": "MSN, PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Royal Institute of Psychiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.