Individual provider Active NPI

Robert Paul Binder, D.P.M.

  • Foot Surgery Podiatrist
  • Reseda, CA
National Provider Identifier
1225010648
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E2485 Issued in CA
Practice address
19231 Victory Blvd Ste 456
Reseda, CA 91335-6367
Phone
(818) 349-8637
Fax
(818) 349-8306
NPI assigned
Nov 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X E2485 CA Primary
Podiatrist 213E00000X E2485 CA

Addresses

Primary practice location

19231 Victory Blvd Ste 456
Reseda, CA 91335-6367

Mailing address

19231 Victory Blvd Ste 456
Reseda, CA 91335-6367
Phone (818) 349-8637

Other identifiers 1

IdentifierTypeStateIssuer
000E24850MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110408000636 CA Practitioner - Podiatry 4880878289 Practice locations: Northridge, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: rbinder350185@oc.providencedirect.org

NPI Registry JSON

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

{
    "created_epoch": "1132444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1225010648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 456",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356367",
            "telephone_number": "818-349-8637",
            "fax_number": "818-349-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19231 VICTORY BLVD STE 456",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913356367",
            "telephone_number": "818-349-8637",
            "fax_number": "818-349-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINDER",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-20",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E2485",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E24850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.