Organization Active NPI

Robert S Doomun D.O., Inc.

  • Family Medicine Physician
  • Yorba Linda, CA
National Provider Identifier
1083625784
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7459 Issued in CA
Legal business name
ROBERT S DOOMUN D.O., INC.
Practice address
19871 Yorba Linda Blvd
Suite #104
Yorba Linda, CA 92886-2811
Phone
(714) 777-3606
Fax
(714) 777-3664
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Sean Doomun, D.O.NPI 1043221898
Title
President/Ceo
Phone
(714) 777-3606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A7459 CA Primary

Addresses

Primary practice location

19871 Yorba Linda Blvd
Suite #104
Yorba Linda, CA 92886-2811

Mailing address

19871 Yorba Linda Blvd
Suite #104
Yorba Linda, CA 92886-2811
Phone (714) 777-3606

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083625784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19871 YORBA LINDA BLVD",
            "address_2": "SUITE #104",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862811",
            "telephone_number": "714-777-3606",
            "fax_number": "714-777-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19871 YORBA LINDA BLVD",
            "address_2": "SUITE #104",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862811",
            "telephone_number": "714-777-3606",
            "fax_number": "714-777-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S DOOMUN D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOOMUN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "714-777-3606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.