Individual provider Active NPI

Robert W Perkins, MD, MPH

  • Occupational Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1114984713
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
0101222989 Issued in VA
Practice address
5301 Bolsa Ave
Mail Code H012-A204
Huntington Beach, CA 92647-2048
Phone
(714) 896-5181
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 0101222989 VA
Occupational Medicine Physician 2083X0100X 0101222989 VA Primary
Occupational Medicine Physician 2083X0100X 128412 CA
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 128412 CA
Occupational Medicine Physician 2083X0100X MD60065664 WA
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X MD60065664 WA

Addresses

Primary practice location

5301 Bolsa Ave
Mail Code H012-A204
Huntington Beach, CA 92647-2048

Mailing address

5301 Bolsa Ave
Mail Code H012-A204
Huntington Beach, CA 92647-2048
Phone (714) 896-5181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
128412CAMDOccupational Medicine Physician
0101222989VAMDOccupational Medicine Physician
MD60065664WAMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1114984713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 BOLSA AVE",
            "address_2": "MAIL CODE H012-A204",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472048",
            "telephone_number": "714-896-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BOLSA AVE",
            "address_2": "MAIL CODE H012-A204",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472048",
            "telephone_number": "714-896-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "VA",
            "license": "0101222989",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "VA",
            "license": "0101222989",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "128412",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "CA",
            "license": "128412",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "WA",
            "license": "MD60065664",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "WA",
            "license": "MD60065664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.