ROY EGARI M.D. MEDICAL CLINIC (NPI# 1508026550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508026550 |
Entity Type | Organization |
Organization Name | ROY EGARI M.D. MEDICAL CLINIC |
Practice Address |
18011 Pioneer Blvd Artesia CA 90701-3904 |
Practice Telephone | 5624020711 |
Practice Fax Number | 5624024338 |
Mailing Telephone | 5624020711 |
Mailing Fax Number | 5624024338 |
Enumeration Date | 2008-06-12 |
Last Update Date | 2016-08-23 |
Authorized Official Name | DR. ROY EGARI (OWNER) |
Authorized Official Telephone | 5624020711 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | A37407 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0019310 | 05 |
Street Address |
18011 PIONEER BLVD |
City | ARTESIA |
State | CA |
Zip Code | 90701-3904 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871603829 | Roy Egari | Clinic/Center | 18011 Pioneer Blvd, Artesia, CA 90701-3904 | 2006-08-30 |
1497158901 | Maria Nannette Higwit | Nurse Practitioner | 18011 Pioneer Blvd, Artesia, CA 90701-3904 | 2014-09-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093364770 | Cerritos Family Denal Center | Clinic/Center | 20106 S Blvd Ste A & B, Cerritos, CA 90701 | 2019-09-05 |
1588121248 | Trinh Thi Bui D.d.s.a Dental Corporation | Clinic/Center | 18510 Gridley Rd, Artesia, CA 90701 | 2019-02-28 |
1497226344 | Primer Ignacio Bayani Usita | Dental Assistant | 11635 E. South Street, Artesia, CA 90701 | 2018-12-17 |
1891214037 | Cho & Kang Dental Corp | Dentist | 11960 Artesia Blvd Suite 200, Artesia, CA 90701 | 2017-09-19 |
1710353065 | Anasuyaben Dahyalal Jani | Nurse Practitioner | 18422 Arline Ave Apt 3, Artesia, CA 90701 | 2015-08-20 |
1720473499 | Allied Rehab Services, Inc. | Clinic/Center | 11618 South St, Unit 201, Artesia, CA 90701 | 2015-03-31 |
1134478043 | Hamlet H. Ong | Dentist | 17906 S. Pioneer Blvd., #100, Artesia, CA 90701 | 2012-09-06 |
1205035169 | John Shen | Dentist | 18369 Pioneer Blvd, Artesia, CA 90701 | 2007-07-12 |
1023141991 | Norman Chow | Dentist | 11635 East South St, Artesia, CA 90701 | 2007-03-13 |
1629100896 | Chau Hue Vu | Dentist | 11635 East South Street, Childrens Dental Bldg, Artesia, CA 90701 | 2007-03-12 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871603829 | Roy Egari | Clinic/Center | 18011 Pioneer Blvd, Artesia, CA 90701-3904 | 2006-08-30 |
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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.