Organization Active NPI

Roy Egari M.D. Medical Clinic

  • Clinic/Center
  • Artesia, CA
National Provider Identifier
1508026550
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A37407 Issued in CA
Legal business name
ROY EGARI M.D. MEDICAL CLINIC
Practice address
18011 Pioneer Blvd
Artesia, CA 90701-3904
Phone
(562) 402-0711
Fax
(562) 402-4338
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Dr. Roy Egari, M.D.
Title
Owner
Phone
(562) 402-0711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A37407 CA Primary

Addresses

Primary practice location

18011 Pioneer Blvd
Artesia, CA 90701-3904

Mailing address

18011 Pioneer Blvd
Artesia, CA 90701-3904
Phone (562) 402-0711

Other identifiers 1

IdentifierTypeStateIssuer
GR0019310MedicaidCA

National Provider Directory

National Provider Directory

Locations

18011 Pioneer Blvd
Artesia, CA 90701
Phone (562) 402-0711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1508026550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18011 PIONEER BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013904",
            "telephone_number": "562-402-0711",
            "fax_number": "562-402-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18011 PIONEER BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013904",
            "telephone_number": "562-402-0711",
            "fax_number": "562-402-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY EGARI M.D. MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "EGARI",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-402-0711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A37407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0019310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.