Individual provider Active NPI

Roger Lee Girion, PH.D

  • Clinical Psychologist
  • Lancaster, CA
National Provider Identifier
1386912806
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY24704 Issued in CA
Practice address
1652 W Avenue J
Lancaster, CA 93534-2814
Phone
(661) 249-6720
Fax
(661) 249-6859
NPI assigned
Dec 12, 2011
Last updated
Dec 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY24704 CA Primary

Addresses

Primary practice location

1652 W Avenue J
Lancaster, CA 93534-2814

Mailing address

1652 W Avenue J
Lancaster, CA 93534-2814
Phone (661) 249-6720

Other identifiers 1

IdentifierTypeStateIssuer
CB2355451OtherCAPTAN

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000913 CA Practitioner - Clinical Psychologist 3971761701 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1656 W Ave J
Lancaster, CA 93534-2814
Phone (909) 289-4075

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY24704CAMDClinical Psychologist
24704CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nebula Health, LLC CurrentSince Feb 11, 2025 Accepting new patients
Inland Psychiatric Medical Group, Inc. CurrentSince Mar 11, 2021 Accepting new patients
Inland Psychiatric Medical Group, Inc. CurrentSince Mar 11, 2021 Accepting new patients
Pacific Heritage Medical Group Inc CurrentSince Oct 1, 2022 Accepting new patients
Inland Psychiatric Medical Group, Inc. Clinical Current Accepting new patients

Locations

1656 W Avenue J
Lancaster, CA 93534
Phone (661) 942-1169

23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

5900 Brockton Ave
Riverside, CA 92506
Phone (800) 992-0901

6833 Indiana Ave
Ste 101
Riverside, CA 92506
Phone (657) 346-6319

806 Avenida Pico
#I330
San Clemente, CA 92673

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

3625 E Thousand Oaks Blvd
Ste 232
Westlake Village, CA 91362
Phone (818) 518-9715

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1386912806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-249-6720",
            "fax_number": "661-249-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-249-6720",
            "fax_number": "661-249-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRION",
        "first_name": "ROGER",
        "middle_name": "LEE",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-12",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CB2355451",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.