Royal E Dean MD Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G063880 Issued in CA

Legal business name

ROYAL E DEAN MD MEDICAL CORPORATION

Practice address

1687 Erringer Rd Ste 217
Simi Valley, CA 93065-6510

Phone

(805) 577-1515

Fax

(805) 577-0559

NPI assigned

Nov 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Royal E Dean Jr., M.D.NPI 1417976945

Title

Physician

Phone

(805) 577-1515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Royal Dean, M.D.

  • General Practice Physician
  • Simi Valley, CA
  • NPI 1417976945
  Medicare reassignment NPD Authorized official
• Linda Vickers, MS, RD, CDE

  • Registered Dietitian
  • Simi Valley, CA
  • NPI 1144250614
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1922309004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD STE 217",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656510",
            "telephone_number": "805-577-1515",
            "fax_number": "805-577-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD STE 217",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656510",
            "telephone_number": "805-577-1515",
            "fax_number": "805-577-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL E DEAN MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "ROYAL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "805-577-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G063880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosaasen Physical Medicine Inc
• Rosaasen Physical Medicine Inc.
• Rosebill Pharmacy Corp
• Stacie Rosenfeld, PT, DPT
• Joel Eric Rothman, D.D.S.
• Royal Living Home, Inc.
• Daniel Rozdial, LMFT
• RPMD Medical, PC
• Linda Rubino, PA-C
• Angelica Ruiz

• General Practice Physician in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.