Robby T Ayoub MD Prof Medical Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ROBBY T AYOUB MD PROF MEDICAL CORP

Practice address

8201 Newman Ave
Suite 101
Huntington Beach, CA 92647-7020

Phone

(714) 847-6900

Fax

(714) 847-3900

NPI assigned

Mar 31, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robby T Ayoub, MDNPI 1396958237

Title

President

Phone

(714) 432-1800

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Robby Tony Ayoub, MD

  • Pulmonary Disease Physician
  • Huntington Beach, CA
  • NPI 1396958237

  CA, Multi-Specialty

  Medicare reassignment NPD Authorized official
• Marlize Atallah Ayoub, DDS

  • Dentist
  • Huntington Beach, CA
  • NPI 1063637700
  NPD (past)

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1073755476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17870 NEWHOPE ST",
            "address_2": "SUITE 104-546",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085439",
            "telephone_number": "714-847-6900",
            "fax_number": "714-847-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 NEWMAN AVE",
            "address_2": "SUITE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477020",
            "telephone_number": "714-847-6900",
            "fax_number": "714-847-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBY T AYOUB MD PROF MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "AYOUB",
        "authorized_official_first_name": "ROBBY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-432-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A102841",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CC648A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diane K Robbins, PHD
• Robert G. Starr M.D., Inc
• Robert Rosett
• Jessica ER Roberts
• Mark Charles Roberts, DDS
• Kylie Robertson, OTR/L

• All providers in Huntington Beach, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.