Individual provider Active NPI

Robert A Mecum, M.D.

  • Gastroenterology Physician
  • Whittier, CA
National Provider Identifier
1114945680
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G78258 Issued in CA
Practice address
12291 Washington Blvd Ste 304
Whittier, CA 90606-2551
Phone
(562) 789-5577
Fax
(562) 789-5567
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G78258 CA
Gastroenterology Physician 207RG0100X G78258 CA Primary

Addresses

Primary practice location

12291 Washington Blvd Ste 304
Whittier, CA 90606-2551

Mailing address

1605 Euston Rd
San Marino, CA 91108-1917
Phone (562) 789-5577

Other identifiers 1

IdentifierTypeStateIssuer
00G782580MedicaidCA

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
I20100913000110 CA Practitioner - Gastroenterology 7911033535 Reassigns benefits to 1 organization
Practice locations: Whittier, CA

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12291 Washington Blvd
Suite 304
Whittier, CA 90606-2551
Phone (562) 789-5577

14350 Whittier Blvd
Suite 305
Whittier, CA 90605-2149
Phone (626) 524-8396

1605 Euston Rd
San Marino, CA 91108-1917

21250 Hawthorne Blvd
Suite 600
Torrance, CA 90503-5500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy106
Upper gastrointestinal (GI) endoscopy for acid reflux44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Whittier Hospital Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1114945680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 EUSTON RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081917",
            "telephone_number": "562-789-5577",
            "fax_number": "562-789-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12291 WASHINGTON BLVD STE 304",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906062551",
            "telephone_number": "562-789-5577",
            "fax_number": "562-789-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECUM",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G78258",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G78258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G782580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.