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DR. ROY AJIT NAMBUDRIPAD M.D.
NPI 1376732867
General Practice in Buena Park, CA

Active since October 19, 2007Opted out of Medicare · through Nov 14, 2027
6714 BEACH BLVD, BUENA PARK, CA 90621(714) 523-8900 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Roy Ajit Nambudripad M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROY AJIT NAMBUDRIPAD M.D. (NPI 1376732867) is an individual general practice provider in Buena Park, California, licensed in California (A101715) and active in the NPI registry since October 2007. He has opted out of Medicare through November 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1376732867
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ROY AJIT NAMBUDRIPADCredential: M.D.
Location Address6714 BEACH BLVDBuena Park, CA 90621-3410
Mailing Address6714 Beach BlvdBuena Park, CA 90621-3410 · (714) 523-8900
Phone(714) 523-8900
Sole ProprietorYes
Enumeration DateOctober 19, 2007
Last NPPES UpdateAugust 31, 2010
✔ NPI 1376732867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A101715
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License A101715 (CA)
6714 BEACH BLVD, Buena Park, CA 90621
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Roy Ajit Nambudripad M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 14, 2013 through November 14, 2027.

Opt-Out Effective DateNovember 14, 2013
Opt-Out In Effect ThroughNovember 14, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOO WOONG KANG
Internal Medicine
6714 BEACH BLVD
BUENA PARK, CA 90621
Orange County (147) 526-7787
JIEUN SIM
Nurse Practitioner (Family)
6714 BEACH BLVD
BUENA PARK, CA 90621
Orange County (714) 752-6778
DR. DEVI S. NAMBUDRIPAD D.C., L.AC., PH.D.
Chiropractor (Nutrition)
6714 BEACH BLVD
BUENA PARK, CA 90621
Orange County (714) 523-8900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roy Nambudripad's NPI number?

The NPI number for Roy Nambudripad is 1376732867. It was assigned to this individual provider in the NPPES registry on October 19, 2007.

Where is Roy Nambudripad located?

Roy Nambudripad practices at 6714 Beach Blvd, Buena Park, CA 90621. The listed phone number is (714) 523-8900.

What is Roy Nambudripad's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Roy Nambudripad enrolled in Medicare?

No. Roy Nambudripad has opted out of Medicare through November 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Roy Nambudripad was last updated on August 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.