Individual provider Active NPI

Robyn Kyomi Sato, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fullerton, CA
National Provider Identifier
1053405670
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
20A8858 Issued in CA
Practice address
150 Laguna Rd
Ste a
Fullerton, CA 92835-3614
Phone
(714) 738-5525
Fax
(714) 738-1352
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20A8858 CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 20A8858 CA Primary

Addresses

Primary practice location

150 Laguna Rd
Ste a
Fullerton, CA 92835-3614

Mailing address

150 Laguna Rd
Ste a
Fullerton, CA 92835-3614
Phone (714) 738-5525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071228000275 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Osteopathic Manipulative MedicinePractitioner - Other (Physician) 8628158995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Osteopathic Manipulative Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

150 Laguna Rd
Suite a
Fullerton, CA 92835-3615
Phone (714) 738-5525

Hospital & facility affiliations

  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8858CAMDPhysical Medicine & Rehabilitation Physician
8858CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robyn K Sato DO Medical Corporation Pain Medicine CurrentSince Jul 1, 2007 Accepting new patients

Locations

150 Laguna Rd
Ste A
Fullerton, CA 92835
Phone (714) 525-8822

2282 N State College Blvd
Fullerton, CA 92831
Phone (657) 378-9888

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

Organizations & group practices 1

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 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1053405670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LAGUNA RD",
            "address_2": "STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353614",
            "telephone_number": "714-738-5525",
            "fax_number": "714-738-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LAGUNA RD",
            "address_2": "STE A",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353614",
            "telephone_number": "714-738-5525",
            "fax_number": "714-738-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATO",
        "first_name": "ROBYN",
        "middle_name": "KYOMI",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A8858",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "20A8858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.