Healthcare Provider Details

I. General information

NPI: 1427151935
Provider Name (Legal Business Name): YOLANDA MIMI BATIN-VAN ROOYEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2271 S DEPOT ST
SANTA MARIA CA
93455-1216
US

IV. Provider business mailing address

504 PLAZA DR
SANTA MARIA CA
93454-6917
US

V. Phone/Fax

Practice location:
  • Phone: 805-739-3805
  • Fax: 805-739-3806
Mailing address:
  • Phone: 805-739-3863
  • Fax: 805-614-2035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA78300
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA78300
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: