Organization Active NPI

Robert T. Reichman, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Escondido, CA
National Provider Identifier
1164604401
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G51599 Issued in CA
Legal business name
ROBERT T. REICHMAN, M.D.
Practice address
488 E Valley Pkwy Ste 211
Escondido, CA 92025-3370
Phone
(760) 740-9550
Fax
(760) 740-0247
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Robert T Reichman, M.D.
Title
President
Phone
(760) 740-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X G51599 CA Primary

Addresses

Primary practice location

488 E Valley Pkwy Ste 211
Escondido, CA 92025-3370

Mailing address

488 E Valley Pkwy Ste 211
Escondido, CA 92025-3370
Phone (760) 740-9550

Other identifiers 1

IdentifierTypeStateIssuer
00G515991MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1164604401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 E VALLEY PKWY STE 211",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253370",
            "telephone_number": "760-740-9550",
            "fax_number": "760-740-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E VALLEY PKWY STE 211",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253370",
            "telephone_number": "760-740-9550",
            "fax_number": "760-740-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT T. REICHMAN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "REICHMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-740-9550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G51599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G515991",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.