Robert Devore, Jr., M.D., Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G46354 Issued in CA

Legal business name

ROBERT DEVORE, JR., M.D., INC

Practice address

2101 N Waterman Ave
San Bernardino, CA 92404-4836

Phone

(800) 883-7243

NPI assigned

Aug 31, 2006

Last updated

Sep 10, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert V Devore, M.D.NPI 1912974601

Title

President

Phone

(800) 883-7243

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert V Devore, M.D.

  • Anesthesiology Physician
  • San Bernardino, CA
  • NPI 1912974601
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1023120466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "800-883-7243",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044836",
            "telephone_number": "800-883-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT DEVORE, JR., M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-883-7243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G46354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G463540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shazeb Ali Rizvi, DPM
• RM Trusted Transportation
• Judy Lynn Roach
• Gary Robbins, M.S.
• Autumn Roberson
• Robert J Wagner DDS, Inc.
• Robert M Deluca & a J Amerigo PTR Dba Arrowview Chiropractic
• Brittney Monea Roberts McGee
• Sandi Roberts
• Danielle Robertson

• Anesthesiology Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.