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ROY D NINI MD INC
NPI 1689844672
Physical Medicine & Rehabilitation - Sports Medicine in Fullerton, CA

Active since March 05, 2008
1440 N HARBOR BLVD, SUITE #100, FULLERTON, CA 92835(310) 423-9885(310) 423-9819 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Roy D Nini Md Inc NPPES

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

ROY D NINI MD INC (NPI 1689844672) is a healthcare organization registered as a sports medicine in Fullerton, California and active in the NPI registry since March 2008. The organization lists Roy D Nini, President, as its authorized official.

NPPES Registry Identity

NPI1689844672
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameROY D NINI MD INC
Location Address1440 N HARBOR BLVD, SUITE #100Fullerton, CA 92835-4127
Mailing Address122 Sheldon StEl Segundo, CA 90245-3915 · (310) 322-4278
Phone(310) 423-9885
Fax(310) 423-9819
Organization SubpartNo
Authorized OfficialRoy D NiniPresident · (714) 441-4700
Enumeration DateMarch 5, 2008
Last NPPES UpdateMay 2, 2012
✔ NPI 1689844672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in CA · A79898
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
1440 N HARBOR BLVD, Fullerton, CA 92835
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Other Identifiers 2

Medicare NSC6621010001CA
Medicare PINW22188CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roy D Nini Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Roy D Nini MD Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Paul Lee, M.D.
Interventional Pain Management
NPI 1003078981
1440 N HARBOR BLVD STE 100
Fullerton, CA 92835
(855) 906-7246
✔ PECOS✔ Accepts MedicareSame address
Roy Nini, M.D.
Physical Medicine and Rehabilitation
NPI 1679633960
444 S SAN VICENTE BLVD STE 800
Los Angeles, CA 90048
(310) 423-9885
✔ PECOS✔ Accepts Medicare29 mi
Jason Wei, DO
Physical Medicine and Rehabilitation
NPI 1417443219
1131 WILSHIRE BLVD STE 100
Santa Monica, CA 90401
(310) 319-3475
✔ PECOS✔ Accepts Medicare34 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 D Nini MD Inc's NPI number?

The NPI number for Roy D Nini MD Inc is 1689844672. It was assigned to this organization in the NPPES registry on March 5, 2008.

Where is Roy D Nini MD Inc located?

Roy D Nini MD Inc is located at 1440 N Harbor Blvd Suite #100, Fullerton, CA 92835. The listed phone number is (310) 423-9885.

What is Roy D Nini MD Inc's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Roy D Nini MD Inc enrolled in Medicare?

Yes. Roy D Nini MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roy D Nini MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Roy D Nini MD Inc, in Interventional Pain Management and Physical Medicine and Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Roy D Nini MD Inc was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.