DR. MATTHEW JOHN ROYALL (NPI# 1194046425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194046425 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JOHN ROYALL |
| Credential | M.D. |
| Practice Address |
483 N Aviation Blvd Bldg 210 El Segundo CA 90245-2808 |
| Practice Telephone | 3106536666 |
| Practice Fax Number | 3106536610 |
| Mailing Telephone | 3106536666 |
| Mailing Fax Number | 3106536610 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2013-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101251087 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
483 N AVIATION BLVD BLDG 210 |
| City | EL SEGUNDO |
| State | CA |
| Zip Code | 90245-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370250 | Roy C Marlow | Dentist | 483 N Aviation Blvd, 61st Medical Group/sgd; #210, El Segundo, CA 90245-2808 | 2005-10-18 |
| 1114372786 | Adam George Hendriksen | Military Health Care Provider | 483 N Aviation Blvd, El Segundo, CA 90245-2808 | 2016-05-02 |
| 1245622273 | Lisa Kendrick | Contractor | 483 N Aviation Blvd, 61 Medical Squadron Laafb, El Segundo, CA 90245-2808 | 2015-02-27 |
| 1346547320 | Patrick Edgecomb | Physical Therapist | 483 N Aviation Blvd, Bldg 210, El Segundo, CA 90245-2808 | 2011-02-28 |
| 1124334404 | Chad Rounds | Pharmacist | 483 N Aviation Blvd, El Segundo, CA 90245-2808 | 2010-08-25 |
| 1700013745 | James Michael Ridgeway II | Dentist | 483 N Aviation Blvd, Los Angeles Afb/61mds/sgd, El Segundo, CA 90245 | 2009-06-17 |
| 1679751200 | Clifford C Souder | Physician Assistant | 483 N Aviation Blvd, El Segundo, CA 90245-2808 | 2008-02-06 |
| 1598710220 | Peggy Marie Delery | Social Worker | 483 N Aviation Blvd, 61 Mds/sgoh, El Segundo, CA 90245-2808 | 2006-05-23 |
| 1568446698 | Val Wano Finnell | Pathology | 483 N Aviation Blvd, 61 Mdg/sgh, El Segundo, CA 90245-2808 | 2005-12-01 |
| 1679554786 | Robert Mark Pekari | Physician Assistant | 483 N Aviation Blvd, 61st Medical Group/sgpf, El Segundo, CA 90245-2808 | 2005-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058976 | Britt'nee Cornelius | Massage Therapist | 222 North PCh, Suite 2000, El Segundo, CA 90245 | 2020-09-18 |
| 1750913778 | Laurie Ann Scoppetto | Dietitian, Registered | 482 N Aviation Blvd, El Segundo, CA 90245 | 2020-02-07 |
| 1972135283 | A Dabrowska Dds, Inc | Dentist | 390 N. Pacific Coast Hwy #1050, El Segundo, CA 90245 | 2020-02-05 |
| 1578023057 | Miles Bertumen | Pharmacist | 283 N Aviation Blvd, Building 210, El Segundo, CA 90245 | 2019-03-21 |
| 1831673201 | Kriss L. Killam | Marriage & Family Therapist | 302 W. Grand Ave., Suite 9, El Segundo, CA 90245 | 2018-09-20 |
| 1811487911 | Bright Light Recovery | Substance Abuse Rehabilitation Facility | 218 Concord St, Suite C, El Segundo, CA 90245 | 2018-05-14 |
| 1265950448 | Sarah Yuriko Mizuki | Physician Assistant | 390 N PCh, Suite 1000, El Segundo, CA 90245 | 2017-09-07 |
| 1326586462 | Jlp Interpreting Services | Interpreter | 963 Virginia St #5, El Segundo, CA 90245 | 2017-02-09 |
| 1619351707 | El Segundo Dermatology, Inc. | Specialist | 713 N Douglas St., El Segundo, CA 90245 | 2015-07-17 |
| 1083956635 | 24hr Homecare, LLC | Home Health | 200 N. Pacific Coast Highway, Suite 300, El Segundo, CA 90245 | 2013-03-21 |
| Find all providers in zip 90245 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285804708 | Elena Del Refugio Ruiz-rios | Pediatrics | 740 S Allied Way Ste D, El Segundo, CA 90245-5512 | 2008-03-12 |
| 1093944571 | Krista Grimm | Pediatrics | 483 N Aviation Blvd Bldg 210, 61 Mds/sgoc, El Segundo, CA 90245-2808 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879099 | Dr Sameh Elamir Md PC | Pediatrics | 1834 W Lincoln Ave Ste R, Anaheim, CA 92801-5425 | 2020-10-17 |
| 1710590971 | Javier R Rios Md, A Professional Corporation | Pediatrics | 6926 Brockton Ave Ste 4&7, Riverside, CA 92506-3800 | 2020-08-27 |
| 1275151342 | California Pediatric & Adolescent Care Inc | Pediatrics | 3340 W Ball Rd Ste A, Anaheim, CA 92804-3729 | 2020-07-06 |
| 1891312153 | Anna Munoz Chavira, Md | Pediatrics | 10603 Horton Ave, Downey, CA 90241-2109 | 2020-07-02 |
| 1699391219 | Margaret Dillon Burchell | Pediatrics | 1524 Columbus Ave, Burlingame, CA 94010-5512 | 2020-06-19 |
| 1780206003 | Pineapple Pediatrics | Pediatrics | 19 E Citrus Ave Ste 201, Redlands, CA 92373-4742 | 2020-05-08 |
| 1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
| 1790304707 | Nicollette L. Ballou, M.d. | Pediatrics | 3831 Hughes Ave Ste 602, Culver City, CA 90232-6845 | 2020-04-09 |
| 1083243091 | Anita Giselle Wright | Pediatrics | 4003 Clarinda Dr, Tarzana, CA 91356-5048 | 2020-04-02 |
| 1669005500 | Family Choice Pediatrics Inc | Pediatrics | 3801 Katella Ave Ste 221, Los Alamitos, CA 90720-3380 | 2020-02-19 |
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| City | EL SEGUNDO |
| Zip Code | 90245 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.