Individual provider Active NPI

Rosalinda Amor Roy, M.D.

  • Family Medicine Physician
  • Canoga Park, CA
National Provider Identifier
1821021981
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C42697 Issued in CA
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

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00C426970MedicaidCA
00A522370MedicaidCA
00A882980MedicaidCA
954326237OtherCATAX ID
GR0076970MedicaidCA
GR0076971MedicaidCA

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
I20160411001494 CA Practitioner - Family PracticePractitioner - General PracticePractitioner - Pediatric Medicine 3375574528 Reassigns benefits to 1 organization

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
Roy Medical Group IncGroup PAC ID 1658682729, 4 clinicians

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

LicenseStateTypeSpecialty
C42697CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roy Medical Group, Inc. Family Medicine CurrentSince Jan 31, 2016 Accepting new patients
Margarita Humanitarian Foundation PastSince Feb 2, 2020 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.

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

Verify at the official NPI Registry.