Individual provider Active NPI

Robert Partovy, D.O.

  • Family Medicine Physician
  • San Fernando, CA
National Provider Identifier
1063591477
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7033 Issued in CA
Practice address
501 N Maclay Ave
San Fernando, CA 91340-2424
Phone
(818) 361-3788
Fax
(818) 361-4630
NPI assigned
Nov 4, 2006
Last updated
May 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2021

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 20A7033 CA Primary

Addresses

Primary practice location

501 N Maclay Ave
San Fernando, CA 91340-2424

Mailing address

PO Box 920970
Sylmar, CA 91392-0970
Phone (818) 361-3788

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
I20050309000607 CA Practitioner - General Practice 8921052366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
College of Osteo Med of the Pacific at Pomona, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

501 N Macaly Ave
San Fernando, CA 91340-2424
Phone (818) 361-3788

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Medical Group, Inc. CurrentSince Aug 25, 2024 Accepting new patients
Noble Care Medical Group, Inc Family Medicine CurrentSince Feb 22, 2001 Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Locations

501 N Maclay Ave
San Fernando, CA 91340
Phone (818) 361-3788

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1063591477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920970",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913920970",
            "telephone_number": "818-361-3788",
            "fax_number": "818-361-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N MACLAY AVE",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402424",
            "telephone_number": "818-361-3788",
            "fax_number": "818-361-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTOVY",
        "first_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

Verify at the official NPI Registry.