Individual provider Active NPI

Roopal Pujara Lalaji, PSYD

  • Clinical Psychologist
  • Walnut Creek, CA
National Provider Identifier
1740397223
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22277 Issued in CA
Practice address
1655 N California Blvd
Unit 203
Walnut Creek, CA 94596-4463
Phone
(646) 483-3247
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071006843 IL
Clinical Psychologist 103TC0700X 6301013440 MI
Clinical Psychologist 103TC0700X PSY22277 CA Primary

Addresses

Primary practice location

1655 N California Blvd
Unit 203
Walnut Creek, CA 94596-4463

Mailing address

1655 N California Blvd
Unit 203
Walnut Creek, CA 94596-4463
Phone (646) 483-3247

Other names 1

  • Dr. Roopal Pujara Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131022002170 CA Practitioner - Clinical Psychologist 5193723781 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY22277CAMDClinical Psychologist
071006843ILMDClinical Psychologist
6301013440MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hassan Kafri MD, Inc. CurrentSince Oct 1, 2023 Accepting new patients

Locations

429 Broadway
Chula Vista, CA 91910
Phone (619) 434-0204

480 Fourth Ave
Ste 401
Chula Vista, CA 91910
Phone (619) 337-0190

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1740397223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 N CALIFORNIA BLVD",
            "address_2": "UNIT 203",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964463",
            "telephone_number": "646-483-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N CALIFORNIA BLVD",
            "address_2": "UNIT 203",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964463",
            "telephone_number": "646-483-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALAJI",
        "first_name": "ROOPAL",
        "middle_name": "PUJARA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006843",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013440",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROOPAL",
            "last_name": "PUJARA",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.