Individual provider Active NPI

Richard M Obler, MD

  • Emergency Medicine Physician
  • La Jolla, CA
National Provider Identifier
1063475507
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G69818 Issued in CA
Practice address
354 Ricardo PL
La Jolla, CA 92037-7941
Phone
(858) 922-1073
NPI assigned
Apr 7, 2006
Last updated
Jan 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G69818 CA Primary

Addresses

Primary practice location

354 Ricardo PL
La Jolla, CA 92037-7941

Mailing address

5666 La Jolla Blvd # 204
La Jolla, CA 92037-7523
Phone (858) 922-1073

Other identifiers 1

IdentifierTypeStateIssuer
00G698180MedicaidCA

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
I20090124000116 CA Practitioner - Family PracticePractitioner - Emergency Medicine 2668536368 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of California, San Diego School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Paradise Emergency Physicians Medical Group IncGroup PAC ID 8628383544, 10 clinicians

Practice addresses (Care Compare)

2400 E 4TH St
National City, CA 91950-2026
Phone (619) 470-4141

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine CurrentSince Aug 1, 2010 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Apr 1, 2021 Accepting new patients
Seven Star Hospital Associates Inc. Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Alpine Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients
Memorial Emergency Physicians Medical Group, Inc Past Accepting new patients

Locations

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Organizations & group practices 7

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 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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1063475507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5666 LA JOLLA BLVD # 204",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377523",
            "telephone_number": "858-922-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 RICARDO PL",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377941",
            "telephone_number": "858-922-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBLER",
        "first_name": "RICHARD",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G69818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G698180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.