NPIMap

Individual provider Active NPI

Robert Sean Doomun, D.O.

  • Family Medicine Physician
  • Yorba Linda, CA
National Provider Identifier
1043221898
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7459 Issued in CA
Practice address
18637 Yorba Linda Blvd
Yorba Linda, CA 92886-4136
Phone
(714) 790-8600
NPI assigned
Aug 10, 2006
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A7459 CA Primary

Addresses

Primary practice location

18637 Yorba Linda Blvd
Yorba Linda, CA 92886-4136

Mailing address

200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-2986

Other practice location 1

19871 Yorba Linda Blvd
#104
Yorba Linda, CA 92886-2811
Phone (714) 777-3606

Other identifiers 1

IdentifierTypeStateIssuer
W19749OtherPIN

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
I20060412000789 CA Practitioner - Family Practice 3870502297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 5597663641, 61 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7002

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Current Accepting new patients
Memorialcare Medical Foundation Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Regents of the University of Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Regents of the University of California Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Bristol Park Medical Group, Inc Family Medicine Past Accepting new patients
Robert S Doomun D.O., Inc. Family Medicine PastSince Apr 20, 2006 Accepting new patients
University of California Irvine Past Accepting new patients
Uci Medical Group Past Accepting new patients
University of California Irvine Past Accepting new patients
David R. Joss,MD a California Professional Corporation Past Accepting new patients
First Choice Physician Partners Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

16671 Yorba Linda Blvd
Ste 100
Yorba Linda, CA 92886
Phone (714) 577-9090

18637 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 790-8600

19871 Yorba Linda Blvd
Ste 104
Yorba Linda, CA 92886
Phone (714) 777-3606

Organizations & group practices 12

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

Hospital & facility affiliations 3

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1043221898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE STE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683219",
            "telephone_number": "714-456-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18637 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864136",
            "telephone_number": "714-790-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19871 Yorba Linda Blvd",
            "address_2": "#104",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "928862811",
            "country_code": "US",
            "telephone_number": "714-777-3606",
            "fax_number": "714-777-3664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOMUN",
        "first_name": "ROBERT",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "W19749",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.