Active NPI
Rosalinda Amor Roy, M.D.
- Family Medicine Physician
- Canoga Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C42697
- Practice address
- 21001 Sherman Way
Suite 15
Canoga Park, CA 91303-1760 - Phone
- (818) 716-0048
- Fax
- (818) 348-4904
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | C42697 | CA | |
| Family Medicine Physician | 207Q00000X | C42697 | CA | Primary |
Addresses
Primary practice location
21001 Sherman Way
Suite 15
Canoga Park, CA 91303-1760
Mailing address
8345 Reseda Blvd
Suite 222
Northridge, CA 91324-4621
Phone (818) 775-5993
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C426970 | Medicaid | CA | |
| 00A522370 | Medicaid | CA | |
| 00A882980 | Medicaid | CA | |
| 954326237 | Other | CA | TAX ID |
| GR0076970 | Medicaid | CA | |
| GR0076971 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1543 E Palmdale Blvd
Palmdale, CA 93550-2000
21001 Sherman Way
Suite 15
Canoga Park, CA 91303-3678
Phone (818) 716-0047
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C42697 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roy Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Margarita Humanitarian Foundation | Past | Accepting new patients | |
| Allmed of Los Angeles, Inc | Past | Accepting new patients | |
| Lakeside Medical Associates, a Medical Group, Inc. | Past | Accepting new patients |
Locations
21001 Sherman Way
Ste 15
Canoga Park, CA 91303
Phone (818) 716-0047
1146 N Central Ave
Glendale, CA 91202
Phone (818) 500-0910
1543 E Palmdale Blvd
Ste F
Palmdale, CA 93550
Phone (661) 480-1838
1543 E Palmdale Blvd
Ste C
Palmdale, CA 93550
Phone (661) 274-1200
16063 Vanowen St
Van Nuys, CA 91406
Phone (818) 785-9989
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Palmdale, CA
- NPI 1720619828
-
- Primary Care Clinic/Center
- El Monte, CA
- NPI 1053052522
-
- Rheumatology Physician
- Burbank, CA
- NPI 1861499535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301443200000",
"number": "1821021981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8345 RESEDA BLVD",
"address_2": "SUITE 222",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913244621",
"telephone_number": "818-775-5993",
"fax_number": "818-993-9344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21001 SHERMAN WAY",
"address_2": "SUITE 15",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913031760",
"telephone_number": "818-716-0048",
"fax_number": "818-348-4904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "ROSALINDA",
"middle_name": "AMOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2011-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "C42697",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C42697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C426970",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A522370",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A882980",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "954326237",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0076970",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0076971",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.