Provider Demographics
NPI:1609802131
Name:CHRYS, ROYCE ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:ROYCE
Middle Name:ALEXANDER
Last Name:CHRYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 CRANE ST
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4260
Mailing Address - Country:US
Mailing Address - Phone:650-498-6530
Mailing Address - Fax:
Practice Address - Street 1:2125 OAK GROVE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2536
Practice Address - Country:US
Practice Address - Phone:925-296-7150
Practice Address - Fax:925-296-7171
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG549942085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G5499411Medicare PIN
CA00G5499418Medicare PIN
CA00G549942Medicare PIN
CA300097049Medicare PIN
CA00G5499412Medicare PIN
CA00G549948Medicare PIN
CA00G549949Medicare PIN
CA300097026Medicare PIN
CAE91488Medicare UPIN
CA00G5499419Medicare PIN
CA00G549941Medicare PIN
CA00G5499414Medicare PIN
CA00G549947Medicare PIN
CA00G5499421Medicare PIN
CA00G549945Medicare PIN
CA00G5499416Medicare PIN
CA00G549944Medicare PIN
CA300096981Medicare PIN
CA00G5499413Medicare PIN
CA00G5499415Medicare PIN
CA00G5499417Medicare PIN
CA00G549943Medicare PIN
CA300097067Medicare PIN
CA00G5499420Medicare PIN
CA00G549946Medicare PIN
CA00G5499410Medicare PIN