Provider Demographics
NPI:1427151935
Name:BATIN-VAN ROOYEN, YOLANDA MIMI (MD)
Entity type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:MIMI
Last Name:BATIN-VAN ROOYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-6917
Mailing Address - Country:US
Mailing Address - Phone:805-739-3863
Mailing Address - Fax:805-614-2035
Practice Address - Street 1:2342 PROFESSIONAL PKWY STE 200
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-1690
Practice Address - Country:US
Practice Address - Phone:805-349-9545
Practice Address - Fax:805-614-2035
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78300208M00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1427151935Medicaid
7491852OtherAETNA PIN
CA00A783000OtherBLUE SHIELD PPO
CA1202OtherCMSP PIN
CABG557ZMedicare PIN
CA1427151935Medicaid
CAP00626846Medicare PIN