Active NPI
Roy Egari, M.D.
- Clinic/Center
- Artesia, CA
National Provider Identifier
1871603829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- A37407
- Practice address
- 18011 Pioneer Blvd
Artesia, CA 90701-3904 - Phone
- (564) 402-0711
- Fax
- (562) 402-4338
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | A37407 | CA | Primary |
Addresses
Primary practice location
18011 Pioneer Blvd
Artesia, CA 90701-3904
Mailing address
18011 Pioneer Blvd.
Artesia, CA 90701
Phone (564) 402-0711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0019310 | Medicaid | CA | |
| 330065892 | Other | AR | TAX ID |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110816000234 | CA | Practitioner - General Practice | 3375712995 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37407 | CA | MD | Speech-Language Pathologist |
| A37407 | CA | MD | Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regal Medical Group, Inc. | Clinic/Center | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520640000000",
"number": "1871603829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18011 PIONEER BLVD.",
"city": "ARTESIA",
"state": "CA",
"postal_code": "90701",
"telephone_number": "564-402-0711",
"fax_number": "562-402-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18011 PIONEER BLVD",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907013904",
"telephone_number": "564-402-0711",
"fax_number": "562-402-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGARI",
"first_name": "ROY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2018-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "A37407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0019310",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "330065892",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Artesia, CA
- Dr Byun Family Dentistry, Dental Practice
- Dr. Felipe Felix Fernandez DDS, Inc (Artesia Dental Care)
- Dr. Michael S. Chang O.D. Inc. (Precision Vision Optometry)
- Sandra L Duarte, LCSW
- Dynasty Optometric Center, Inc.
- Khaled El Kasri, DDS
- Eleven Optical Inc (eleven optical)
- Elite Wound Care Pro
- Karina Estrada, CCC-SLP
- Eugene Humphries, D.D.S., M.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.