Individual provider Active NPI

Robert McDonald, MD

  • Family Medicine Physician
  • Temecula, CA
National Provider Identifier
1285671305
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A97178 Issued in CA
Practice address
31493 Rancho Pueblo Rd
Suite 107
Temecula, CA 92592-4832
Phone
(951) 303-3337
Fax
(951) 303-2810
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00044397 WA
Family Medicine Physician 207Q00000X A97178 CA Primary

Addresses

Primary practice location

31493 Rancho Pueblo Rd
Suite 107
Temecula, CA 92592-4832

Mailing address

31493 Rancho Pueblo Rd
Suite 107
Temecula, CA 92592-4832
Phone (951) 303-3337

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
I20061025000794 CA Practitioner - Family Practice 6709864002 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
97178CAMDMarriage & Family Therapist
A97178CAMDFamily Medicine Physician
MD00044397WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U S Health Dept of Health & Human Services Past Accepting new patients
Fort Yates Indian Health Service Hospital Past Accepting new patients
U S Health Dept of Health & Human Services Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Fort Yates Indian Health Service Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1285671305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31493 RANCHO PUEBLO RD",
            "address_2": "SUITE 107",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924832",
            "telephone_number": "951-303-3337",
            "fax_number": "951-303-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31493 RANCHO PUEBLO RD",
            "address_2": "SUITE 107",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924832",
            "telephone_number": "951-303-3337",
            "fax_number": "951-303-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00044397",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A97178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.