Healthcare Provider Details

I. General information

NPI: 1588869341
Provider Name (Legal Business Name): DONNA JUNE ROYBAL M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7210 JOHNSTON RD
PLEASANTON CA
94588-9466
US

IV. Provider business mailing address

1580 1ST ST
NAPA CA
94559-2841
US

V. Phone/Fax

Practice location:
  • Phone: 210-802-9148
  • Fax:
Mailing address:
  • Phone: 707-258-8757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA105225
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberP6715
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA105225
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: