MIKE A ROYAL (NPI# 1740418409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740418409 |
| Entity Type | Individual |
| Full Name | MIKE A ROYAL |
| Credential | MD JD MBA |
| Practice Address |
12481 High Bluff Dr Suite 200 San Diego CA 92130-3585 |
| Mailing Address |
4533 Ocean Valley Ln San Diego CA 92130-2428 |
| Practice Telephone | 8584361427 |
| Practice Fax Number | 8584361401 |
| Mailing Telephone | 8587944975 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
G86767 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12481 HIGH BLUFF DR SUITE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-3585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972625051 | James Breitmeyer | Internal Medicine | 12481 High Bluff Dr, San Diego, CA 92130-3585 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154717015 | Stewart Alan Lewis | Anesthesiology | 1281 9th Ave Unit 3009, San Diego, CA 92101-4676 | 2015-04-07 |
| 1093819419 | Alicja Steiner Md A Professional Medical Corporation | Anesthesiology | 2100 5th Ave # 200, San Diego, CA 92101-2102 | 2006-09-08 |
| 1871517110 | Paul Euin Kim | Anesthesiology | 3549 Camino Del Rio South, Ste A, San Diego, CA 92108-3549 | 2006-07-27 |
| 1457388225 | Kevin S Smith | Anesthesiology | 7525 Linda Vista Rd Ste C, San Diego, CA 92111-5344 | 2006-06-27 |
| 1093281438 | Relieve Pain Center, Inc. | Anesthesiology | 3969 4th Ave Ste 208, San Diego, CA 92103-3165 | 2018-10-23 |
| 1538641857 | Relive You Center for Advanced Pain Management | Anesthesiology | 8901 Activity Rd Ste 104, San Diego, CA 92126 | 2018-09-04 |
| 1033614706 | Ellison Medical Group Vein Treatment Center | Anesthesiology | 5330 Carroll Canyon Rd Ste 140, San Diego, CA 92121-3758 | 2018-03-26 |
| 1013422633 | Stewart A Lewis Do Rph Inc | Anesthesiology | 1281 9th Ave Unit 3009, San Diego, CA 92101-4676 | 2017-12-05 |
| 1811313067 | Pain Solutions Inc | Anesthesiology | 6719 Alvarado Rd, San Diego, CA 92120-5270 | 2014-03-12 |
| 1861832735 | Douglas Dobecki, Medical Doctor, Incorporated | Anesthesiology | 7625 Mesa College Dr, Suite 315a, San Diego, CA 92111-5343 | 2013-06-25 |
| Find all providers in SAN DIEGO | ||||
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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.