Individual provider Active NPI

Robert Nathan Titcher, MD

  • Internal Medicine Physician
  • Sylmar, CA
National Provider Identifier
1083704902
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A27783 Issued in CA
Practice address
14124 Foothill Blvd
Suite 100
Sylmar, CA 91342
Phone
(818) 367-1012
Fax
(818) 367-7570
NPI assigned
Oct 13, 2006
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A35435 CA
Internal Medicine Physician 207R00000X A27783 CA Primary

Addresses

Primary practice location

14124 Foothill Blvd
Suite 100
Sylmar, CA 91342

Mailing address

14124 Foothill Blvd
Suite 100
Sylmar, CA 91342
Phone (818) 367-1012

Other identifiers 1

IdentifierTypeStateIssuer
00A354350MedicaidCA

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
I20100818000967 CA Practitioner - Internal Medicine 3971665571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Southern California Keck School of Medicine, 1979
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

14124 Foothill Blvd
Suite 100
Sylmar, CA 91342-8051
Phone (818) 367-1012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A27783CAMDInternal Medicine Physician
A35435CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Herbert S Radley MD & Harold M Cohen MD Medical Corporation CurrentSince Mar 21, 1988 Accepting new patients

Locations

14124 Foothill Blvd
Ste 100
Sylmar, CA 91342
Phone (818) 367-1012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: robert.titcher.p26@direct.regal.nextgenshare.com
  • Direct secure messaging: robert.titcher.p65@direct.healthcarepartners.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1083704902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14124 FOOTHILL BLVD",
            "address_2": "SUITE 100",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "91342",
            "telephone_number": "818-367-1012",
            "fax_number": "818-367-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14124 FOOTHILL BLVD",
            "address_2": "SUITE 100",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "91342",
            "telephone_number": "818-367-1012",
            "fax_number": "818-367-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITCHER",
        "first_name": "ROBERT",
        "middle_name": "NATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A35435",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A27783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A354350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.