Roy D Nini MD Inc

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

A79898 Issued in CA

Legal business name

ROY D NINI MD INC

Practice address

1440 N Harbor Blvd
Suite #100
Fullerton, CA 92835-4127

Phone

(310) 423-9885

Fax

(310) 423-9819

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Roy D Nini, MDNPI 1679633960

Title

President

Phone

(714) 441-4700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 3

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

• Roy D Nini, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Angeles, CA
  • NPI 1679633960
  Medicare reassignment Care Compare group Authorized official
• Paul Chen Lee, M.D.

  • Interventional Pain Medicine Physician
  • Fullerton, CA
  • NPI 1003078981
  Medicare reassignment Care Compare group NPD
• Jason John Wei, DO

  • Physical Medicine & Rehabilitation Physician
  • Santa Monica, CA
  • NPI 1417443219
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1689844672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SHELDON ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453915",
            "telephone_number": "310-322-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD",
            "address_2": "SUITE #100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354127",
            "telephone_number": "310-423-9885",
            "fax_number": "310-423-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY D NINI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "NINI",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-441-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "A79898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrion Tisshaun Ross
• Dennis L Ross, MD
• Peter Wadea Rostom
• Rotuna Chiropractic, Inc.
• Jody Marie Rotuna, DC
• Royce L. Hutain, M.D., Inc.
• RSCR California, Inc.
• Alysta Emily Rubalcava
• Jasmine G Rubin
• Michael P. Rubinstein, M.D.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.