Roy Isao Sugasawara, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G55934 Issued in CA

Practice address

360 Mobil Ave
#116
Camarillo, CA 93010-6325

Phone

(805) 484-7967

Fax

(805) 389-0057

NPI assigned

Jul 19, 2005

Last updated

Mar 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Roy I. Sugasawara, MD, Inc.

  • Urology Physician
  • Camarillo, CA
  • NPI 1134344500
  Authorized official Same address or phone

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1699774836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MOBIL AVE",
            "address_2": "#116",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106325",
            "telephone_number": "805-484-7967",
            "fax_number": "805-389-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MOBIL AVE",
            "address_2": "#116",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106325",
            "telephone_number": "805-484-7967",
            "fax_number": "805-389-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGASAWARA",
        "first_name": "ROY",
        "middle_name": "ISAO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G55934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Streiter
• Clinton Strozier
• Kaci Stubblefield
• Matthew Stump
• Jacquelinne Sudaria, LMFT
• Rebecca Sugawara, MPPD, RD
• Olivia Sugimoto, DMD
• Rita Helene Suley, OTR-L
• Karen Sullivan
• Kevin Sullivan

• Urology Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.