Individual provider Active NPI

Robert E Bell Jr., PA

  • Physician Assistant
  • San Rafael, CA
National Provider Identifier
1255671186
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
57317 Issued in CA
Practice address
1466 Lincoln Ave
San Rafael, CA 94901-2021
Phone
(415) 457-3755
NPI assigned
Mar 1, 2013
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 57317 CA Primary
Physician Assistant 363A00000X 50.003721 OH

Addresses

Primary practice location

1466 Lincoln Ave
San Rafael, CA 94901-2021

Mailing address

4312 Clinton Ave
Cleveland, OH 44113-2868
Phone (216) 466-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130405000434 OH Practitioner - Physician Assistant 9537304977 Reassigns benefits to 4 organizations
I20220705000062 CA Practitioner - Physician Assistant 9537304977 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Rehabilitation Physicians LLCGroup PAC ID 7214334614, 44 clinicians
The West Oakland Health CouncilGroup PAC ID 9537062302, shared by 4 NPIs, 27 clinicians

Practice addresses (Care Compare)

San Ramon, CA 94583
Phone (801) 215-9309

700 Adeline St
Oakland, CA 94607-2608
Phone 51083596102006

7450 International Blvd
Oakland, CA 94621-2806
Phone (510) 430-9401

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
57317CAMDPhysician Assistant
50.003721OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Cleveland Medical Center Physician Assistant CurrentSince Jun 1, 2018 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Jul 20, 2024 Accepting new patients
Marin Treatment Center CurrentSince Jan 15, 2023 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jan 1, 2017 Accepting new patients
Carbon Health Primary Care of California PC PastSince Jul 20, 2025 Accepting new patients

Locations

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

1760 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 214-9732

303 Corte Madera Town Ctr
Corte Madera, CA 94925
Phone (415) 840-8615

1390 Market St
Ste 109
San Francisco, CA 94102
Phone (415) 918-5766

1466 Lincoln Ave
San Rafael, CA 94901
Phone (415) 457-3755

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

11100 Euclid Ave
Cleveland Heights, OH 44106

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1255671186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 CLINTON AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132868",
            "telephone_number": "216-466-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 LINCOLN AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012021",
            "telephone_number": "415-457-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-01",
        "last_updated": "2023-01-10",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57317",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.