Michael Robirds
Individual provider Active NPI Homemaker · Corona, CA
NPI 1134725856 · NPPES record last updated Dec 8, 2020
Key facts
- NPI
- 1134725856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- License
- 334700028 (CA)
- Practice address
- 4740 Green River Rd Ste 117E
Corona, CA 92878-9437 - Phone
- (951) 667-1747
- NPI assigned
- Dec 8, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334700028 | CA | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Senior Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 334700028 | CA | Yes |
Addresses
Primary practice location
4740 Green River Rd Ste 117E
Corona, CA 92878-9437
Mailing address
4740 Green River Rd Ste 117E
Corona, CA 92878-9437
Phone (951) 667-1747
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Corona | Health Information Exchange (HIE) |
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.