Individual provider Active NPI

Roy B Del-Rosario, M.D.

  • Psychiatry Physician
  • Lancaster, CA
National Provider Identifier
1740381870
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A44914 Issued in CA
Practice address
1672 W Avenue J
Ste 110
Lancaster, CA 93534
Phone
(661) 726-2826
Fax
(661) 723-9557
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A44914 CA Primary

Addresses

Primary practice location

1672 W Avenue J
Ste 110
Lancaster, CA 93534

Mailing address

3555 Camino Hermanos
Lancaster, CA 93536-2819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510000998 CA Practitioner - Psychiatry 2567451040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Av Behavioral Medicine IncGroup PAC ID 5193011740, 2 clinicians

Practice addresses (Care Compare)

1672 W Ave J
Suite 110
Lancaster, CA 93534-2859
Phone (661) 726-2826

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Av Behavioral Medicine, Inc Psychiatry CurrentSince Jan 1, 2015 Accepting new patients

Locations

1672 W Avenue J
Ste 110
Lancaster, CA 93534
Phone (661) 726-2826

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1740381870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 CAMINO HERMANOS",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935362819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 W AVENUE J",
            "address_2": "STE 110",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-726-2826",
            "fax_number": "661-723-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL-ROSARIO",
        "first_name": "ROY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A44914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.