Active NPI
Ronald Lambert Van Roy, M.D.
- Therapeutic Radiology Physician
- Santa Rosa, CA
National Provider Identifier
1720168586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Therapeutic Radiology Physician
- License
- C30218
- Practice address
- 121 Sotoyome St
Santa Rosa, CA 95405-4823 - Phone
- (707) 525-1150
- Fax
- (707) 525-4061
- NPI assigned
- Oct 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | C30218 | CA | |
| Therapeutic Radiology Physician | 2085R0203X | C30218 | CA | Primary |
Addresses
Primary practice location
121 Sotoyome St
Santa Rosa, CA 95405-4823
Mailing address
121 Sotoyome St
Santa Rosa, CA 95405-4823
Phone (707) 525-1150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C320180 | Medicaid | CA |
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 |
|---|---|---|---|
| C30218 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwood Regional Medical Group Inc | Radiation Oncology | Past | Accepting new patients |
| Redwood Regional Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Santa Rosa, CA
- NPI 1275556607
Radiation Oncology
-
- Clinical Medical Laboratory
- Santa Rosa, CA
- NPI 1588743264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1720168586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 SOTOYOME ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054823",
"telephone_number": "707-525-1150",
"fax_number": "707-525-4061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 SOTOYOME ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054823",
"telephone_number": "707-525-1150",
"fax_number": "707-525-4061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN ROY",
"first_name": "RONALD",
"middle_name": "LAMBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "C30218",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "CA",
"license": "C30218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C320180",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.