Roy Ajit Nambudripad, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A101715 Issued in CA

Practice address

6714 Beach Blvd
Buena Park, CA 90621-3410

Phone

(714) 523-8900

NPI assigned

Oct 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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 Nov 14, 2013 through Nov 14, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1376732867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6714 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213410",
            "telephone_number": "714-523-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6714 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213410",
            "telephone_number": "714-523-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMBUDRIPAD",
        "first_name": "ROY",
        "middle_name": "AJIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-19",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A101715",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A101715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Murray
• Servando Nalangan Naca
• Jeongbok Nam, ACUPUNCTURIST
• Yeonju Nam
• Devi S. Nambudripad, D.C., L.AC., PH.D.
• Alanna Christine Narro
• Joseph Florente Narvaez, PTA
• Naum Acupuncture
• Mayra Navarrete, LVN
• Alicia Navarro

• General Practice Physician in Buena Park, CA
• Providers in Buena Park, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.