Individual provider Active NPI

Jillian Alexandra Roy, FNP-C

  • Family Nurse Practitioner
  • Beverly Hills, CA
National Provider Identifier
1992358725
Registry record updated Jul 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012275 Issued in CA
Practice address
421 N Rodeo Dr Ste T7
Beverly Hills, CA 90210-4531
Phone
(310) 274-5372
NPI assigned
Jul 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012275 CA Primary

Addresses

Primary practice location

421 N Rodeo Dr Ste T7
Beverly Hills, CA 90210-4531

Mailing address

PO Box 35292
Los Angeles, CA 90035-0292

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190912003446 CA Practitioner - Nurse Practitioner 6103155379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin and Beauty Center IncGroup PAC ID 8628170347, 34 clinicians

Practice addresses (Care Compare)

2720 W Magnolia Blvd
Burbank, CA 91505-3034
Phone (818) 842-8000

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95012275CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Beauty Center Inc Dermatology CurrentSince Mar 15, 2024 Accepting new patients
Skin and Beauty Center (SBC), Inc. - Glendale Dermatology CurrentSince Mar 15, 2024 Accepting new patients
Northridge Dermatology Associates Medical Group Inc Dermatology Current Accepting new patients
Skin and Beauty Center (SBC), Inc. Dermatology Past Accepting new patients

Locations

191 S Buena Vista St
Ste 475
Burbank, CA 91505
Phone (818) 322-0126

2720 W Magnolia Blvd
Burbank, CA 91505
Phone (818) 842-8000

9535 Reseda Blvd
Ste 304
Northridge, CA 91324
Phone (818) 886-3884

Interoperability endpoints

  • Direct secure messaging: jroy@dcm-ca.emadirect.md

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": "1563667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563667200000",
    "number": "1992358725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35292",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900350292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N RODEO DR STE T7",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104531",
            "telephone_number": "310-274-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "JILLIAN",
        "middle_name": "ALEXANDRA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-21",
        "last_updated": "2019-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.