Active NPI
Robert W Perkins, MD, MPH
- Occupational Medicine Physician
- Huntington Beach, CA
National Provider Identifier
1114984713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 0101222989
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 128412 | CA | MD | Occupational Medicine Physician |
| 0101222989 | VA | MD | Occupational Medicine Physician |
| MD60065664 | WA | MD | Occupational 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.