Individual provider Active NPI

Philip A Robinson, MD

  • Infectious Disease Physician
  • Newport Beach, CA
National Provider Identifier
1205810066
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
G71821 Issued in CA
Practice address
320 Superior Ave
Suite #290
Newport Beach, CA 92663-2716
Phone
(949) 650-9155
Fax
(949) 574-5590
NPI assigned
Dec 5, 2005
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X G71821 CA Primary

Addresses

Primary practice location

320 Superior Ave
Suite #290
Newport Beach, CA 92663-2716

Mailing address

320 Superior Ave
Suite #290
Newport Beach, CA 92663-2716
Phone (949) 650-9155

Other identifiers 3

IdentifierTypeStateIssuer
00G718210OtherBLUE SHIELD
440002065OtherRAILROAD MEDICARE
00G718210MedicaidCA

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
I20050708000759 CA Practitioner - Infectious Disease 5496781726 Practice locations: Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Michigan Medical School, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

320 Superior Ave
Suite 270
Newport Beach, CA 92663-2778
Phone (949) 650-9155

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G71821CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Hoag Orthopedic Institute LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1205810066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE",
            "address_2": "SUITE #290",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632716",
            "telephone_number": "949-650-9155",
            "fax_number": "949-574-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE",
            "address_2": "SUITE #290",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632716",
            "telephone_number": "949-650-9155",
            "fax_number": "949-574-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "PHILIP",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G71821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G718210",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "440002065",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G718210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.