Active NPI
Jillian Alexandra Roy, FNP-C
- Family Nurse Practitioner
- Beverly Hills, CA
National Provider Identifier
1992358725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95012275
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.23 of 100
- Promoting interoperability
- 88
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95012275 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin and Beauty Center Inc | Dermatology | Current | Accepting new patients |
| Skin and Beauty Center (SBC), Inc. - Glendale | Dermatology | Current | 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
- 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.
-
- Dermatology Physician
- Burbank, CA
- NPI 1073751129
-
- Dermatology Physician
- Northridge, CA
- NPI 1346261617
-
- Dermatology Physician
- Glendale, CA
- NPI 1881131613
-
- Dermatology Physician
- Valencia, CA
- NPI 1316026875
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.