Organization Active NPI

Robert Assibey MD Apmc

  • Family Medicine Physician
  • Livermore, CA
National Provider Identifier
1285492793
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROBERT ASSIBEY MD APMC
Practice address
5924 Kim CT
Livermore, CA 94550-8116
Phone
(510) 304-6571
Fax
(562) 210-0594
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Robert Assibey, MDNPI 1942739487
Title
President
Phone
(510) 304-6571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5924 Kim CT
Livermore, CA 94550-8116

Mailing address

5924 Kim CT
Livermore, CA 94550-8116
Phone (510) 304-6571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240513003697 CA Part B Supplier - Clinic/Group Practice 6103267844 Receives reassigned benefits from 1 practitioner
Practice locations: Livermore, CA

National Provider Directory

National Provider Directory

Locations

379 S Livermore Ave
Ste C1
Livermore, CA 94550
Phone (415) 990-4577

121 Paul Dr
Ste A
San Rafael, CA 94903
Phone (415) 578-4983

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1285492793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 KIM CT",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945508116",
            "telephone_number": "510-304-6571",
            "fax_number": "562-210-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 KIM CT",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945508116",
            "telephone_number": "510-304-6571",
            "fax_number": "562-210-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT ASSIBEY MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "ASSIBEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-304-6571",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.