Individual provider Active NPI

Jordan Louise Royer, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1356953020
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95025810 Issued in CA
Practice address
767 N Hill St Ste 400a
Los Angeles, CA 90012-2381
Phone
(213) 808-1720
Fax
(213) 253-0883
NPI assigned
Aug 23, 2020
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95025810 CA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 95025810 CA

Addresses

Primary practice location

767 N Hill St Ste 400a
Los Angeles, CA 90012-2381

Mailing address

767 N Hill St
Los Angeles, CA 90012-2343
Phone (213) 808-1720

Other practice location 1

2810 E Del Mar Blvd Ste 8
Pasadena, CA 91107-4323
Phone (626) 356-0363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251113000904 CA Order and Referring Only - Nurse Practitioner 6901397371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95025810CAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown Service Center PastSince Dec 3, 2023 Accepting new patients
Haraszti and Associates PastSince Aug 1, 2023 Accepting new patients
Haraszti & Associates PastSince Aug 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jordan.royer.p1@direct.cscla.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1356953020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 N HILL ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122343",
            "telephone_number": "213-808-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 N HILL ST STE 400A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122381",
            "telephone_number": "213-808-1720",
            "fax_number": "213-253-0883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 E Del Mar Blvd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911074323",
            "country_code": "US",
            "telephone_number": "626-356-0363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROYER",
        "first_name": "JORDAN",
        "middle_name": "LOUISE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95025810",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95025810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.