Individual provider Active NPI

Robert A Houghton, M.D.

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1124138045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A49774 Issued in CA
Practice address
1855 1St Ave Ste 200
San Diego, CA 92101-2685
Phone
(619) 233-4044
Fax
(619) 233-4144
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A49774 CA Primary

Addresses

Primary practice location

1855 1St Ave Ste 200
San Diego, CA 92101-2685

Mailing address

1855 1St Ave Ste 200
San Diego, CA 92101-2685
Phone (619) 233-4044

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
I20120906000375 CA Practitioner - General Practice 2860649340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1855 1St Ave
Suite 200B
San Diego, CA 92101-2685
Phone (619) 233-4044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49774CAMDGeneral Practice Dentistry
A49774CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Houghton, M.D., Inc. CurrentSince Aug 8, 2012 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Past Accepting new patients

Locations

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

1855 1st Ave
Ste 200B
San Diego, CA 92101
Phone (619) 233-4044

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: robert.houghton@rhmi.eclinicaldirectplus.com
  • Direct secure messaging: rhoughton81127@scrippshlth.medalliesdirect.net

Organizations & group practices 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124138045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 1ST AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012685",
            "telephone_number": "619-233-4044",
            "fax_number": "619-233-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 1ST AVE STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012685",
            "telephone_number": "619-233-4044",
            "fax_number": "619-233-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGHTON",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A49774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.