NPIMap

Individual provider Active NPI

Robert Joseph Enright, PA-C

  • Physician Assistant
  • Los Gatos, CA
National Provider Identifier
1033858212
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
61700 Issued in CA
Practice address
14251 Winchester Blvd # 200
Los Gatos, CA 95032-1811
Phone
(408) 426-5540
NPI assigned
Jun 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 61700 CA Primary

Addresses

Primary practice location

14251 Winchester Blvd # 200
Los Gatos, CA 95032-1811

Mailing address

14251 Winchester Blvd # 200
Los Gatos, CA 95032-1811
Phone (408) 426-5540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731001598 CA Practitioner - Physician Assistant 1153868815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

14251 Winchester Blvd
Suite 200
Los Gatos, CA 95032-1811
Phone (408) 426-5540

15861 Winchester Blvd
Los Gatos, CA 95030-3306
Phone (408) 395-6121

50 E Hamilton Ave
Suite 280
Campbell, CA 95008-0273
Phone (408) 227-2646

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
61700CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Medical Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: renright454391@direct.stanfordhealthcare.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1033858212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14251 WINCHESTER BLVD # 200",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321811",
            "telephone_number": "408-426-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14251 WINCHESTER BLVD # 200",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321811",
            "telephone_number": "408-426-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIGHT",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-03",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "61700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.