Active NPI
Roger Norman Andrews, MD
- Urology Physician
- Arcadia, CA
National Provider Identifier
1922070838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G31944
- Practice address
- 624 W Duarte Rd
Suite 203
Arcadia, CA 91007-7603 - Phone
- (626) 446-8595
- Fax
- (626) 446-1031
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | G31944 | CA | Primary |
Addresses
Primary practice location
624 W Duarte Rd
Suite 203
Arcadia, CA 91007-7603
Mailing address
624 W Duarte Rd
Suite 203
Arcadia, CA 91007-7603
Phone (626) 446-8595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G319440 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G31944 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Arcadia Hospital | Past | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Ahmc San Gabriel Valley Medical | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1922070838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 W DUARTE RD",
"address_2": "SUITE 203",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077603",
"telephone_number": "626-446-8595",
"fax_number": "626-446-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 W DUARTE RD",
"address_2": "SUITE 203",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077603",
"telephone_number": "626-446-8595",
"fax_number": "626-446-1031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "ROGER",
"middle_name": "NORMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G31944",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G319440",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.