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

NPI Status: Active since October 19, 2007

Contact Information

6714 BEACH BLVD
BUENA PARK, CA
ZIP 90621
Phone: (714) 523-8900

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  • Individual
  • Male
  • General Practice
  • PECOS Enrolled
  • Opted-Out Medicare

About ROY NAMBUDRIPAD

This page provides the complete NPI Profile along with additional information for Roy Nambudripad, a primary care provider established in Buena Park, California with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1376732867 assigned on October 2007. The practitioner's primary taxonomy code is 208D00000X with license number A101715 (CA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1376732867
Provider Name
DR. ROY AJIT NAMBUDRIPAD M.D.
Gender
Male
Entity Type
Individual
Location Address
6714 BEACH BLVD BUENA PARK, CA 90621
Location Phone
(714) 523-8900
Mailing Address
6714 BEACH BLVD BUENA PARK, CA 90621
Mailing Phone
(714) 523-8900
Is Sole Proprietor?
Yes
Enumeration Date
10-19-2007
Last Update Date
08-31-2010
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A primary care provider (PCP) like Roy Nambudripad sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Roy Nambudripad opted out of Medicare effective on 11-14-2013 until 11-14-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
A101715
License State
CA
Taxonomy Description
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

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ZP0102XAllopathic & Osteopathic Physicians

Pathology
Anatomic Pathology & Clinical Pathology

A101715 (CA)

Medicare Participation & PECOS Enrollment Status

Roy Nambudripad is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 11-14-2013

  • Opt-Out End Date: 11-14-2025

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376732867
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231461434812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 4 + 3 + 4 + 8 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1376732867 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992983928DR. DEVI S. NAMBUDRIPAD D.C., L.AC., PH.D.
Individual
Chiropractor (Nutrition)6714 BEACH BLVD
BUENA PARK, CA 90621
(714) 523-8900
1164577706 SOO WOONG KANG
Individual
Internal Medicine6714 BEACH BLVD
BUENA PARK, CA 90621
(147) 526-7787
1932601952 JIEUN SIM
Individual
Nurse Practitioner (Family)6714 BEACH BLVD
BUENA PARK, CA 90621
(714) 752-6778

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376732867, enumerated in the NPI registry as an "individual" on October 19, 2007

The provider is located at 6714 Beach Blvd Buena Park, Ca 90621 and the phone number is (714) 523-8900

The provider's speciality is General Practice with taxonomy code 208D00000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

No, the provider signed an affidavit on November 14, 2013 to opt-out of the Medicare program. The provider is excluded from the Medicare program until November 14, 2025.

This NPI record was last updated on October 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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