Active NPI
Roy K Marubayashi
- Pediatrics Physician
- Vacaville, CA
National Provider Identifier
1558580969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G52485
- Practice address
- 3700 Vaca Valley Pkwy
Vacaville, CA 95688-9430 - Phone
- (510) 625-6262
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G52485 | CA | Primary |
Addresses
Primary practice location
3700 Vaca Valley Pkwy
Vacaville, CA 95688-9430
Mailing address
28017 State Highway 128
Winters, CA 95694-9067
Phone (707) 453-5419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G52485 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558580969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28017 STATE HIGHWAY 128",
"city": "WINTERS",
"state": "CA",
"postal_code": "956949067",
"telephone_number": "707-453-5419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 VACA VALLEY PKWY",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956889430",
"telephone_number": "510-625-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARUBAYASHI",
"first_name": "ROY",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G52485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.