Organization Active NPI

Robert Houghton, M.D., Inc.

  • Adult Medicine Physician
  • San Diego, CA
National Provider Identifier
1053670596
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A49774 Issued in CA
Legal business name
ROBERT HOUGHTON, M.D., INC.
Practice address
1855 1St Ave
Ste. 200B
San Diego, CA 92101-2685
Phone
(619) 233-4044
NPI assigned
May 3, 2012
Organization subpart
Yes
Parent organization
ROBERT HOUGHTON, M.D., INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Chris Bobritchi
Title
Office Manager
Phone
(619) 233-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X A49774 CA Primary

Addresses

Primary practice location

1855 1St Ave
Ste. 200B
San Diego, CA 92101-2685

Mailing address

1855 1St Ave
Ste. 200B
San Diego, CA 92101-2685
Phone (619) 233-4044

Other identifiers 1

IdentifierTypeStateIssuer
00A497740MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120906000319 CA Part B Supplier - Clinic/Group Practice 7618124181 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory
Part of
Robert Houghton MD Inc

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1053670596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 1ST AVE",
            "address_2": "STE. 200B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012685",
            "telephone_number": "619-233-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 1ST AVE",
            "address_2": "STE. 200B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012685",
            "telephone_number": "619-233-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT HOUGHTON, M.D., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT  HOUGHTON, M.D., INC.",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "BOBRITCHI",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-233-4044"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A49774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A497740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.