Active NPI
Robert Sherman Vinetz, M.D.
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1205879798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G21262
- Practice address
- 184 Bimini PL
Los Angeles, CA 90004-5903 - Phone
- (213) 387-2822
- Fax
- (213) 385-8482
- NPI assigned
- Jun 13, 2006
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G21262 | CA | Primary |
Addresses
Primary practice location
184 Bimini PL
Los Angeles, CA 90004-5903
Mailing address
1300 N Vermont Ave
Suite 1002
Los Angeles, CA 90027-6005
Phone (323) 953-7341
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141124001769 | CA | Order and Referring Only - Pediatric Medicine | 2466558861 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gracelight Community Health | Past | Accepting new patients | |
| Children's Hospital Los Angeles Mental Health | 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.
-
dba Children's Hospital LA- QueensCare Health and Faith Partnership
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1518066299
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1104075282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1205879798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N VERMONT AVE",
"address_2": "SUITE 1002",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276005",
"telephone_number": "323-953-7341",
"fax_number": "323-953-6244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 BIMINI PL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900045903",
"telephone_number": "213-387-2822",
"fax_number": "213-385-8482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINETZ",
"first_name": "ROBERT",
"middle_name": "SHERMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G21262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.