Active NPI
Robert Decaro, PA-C
- Physician Assistant
- Hemet, CA
National Provider Identifier
1285814632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- CALIFORNIA
- Practice address
- 1264 E Latham Ave
Hemet, CA 92543-4445 - Phone
- (951) 925-3600
- NPI assigned
- Nov 13, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | CALIFORNIA | CA | Primary |
Addresses
Primary practice location
1264 E Latham Ave
Hemet, CA 92543-4445
Mailing address
9 Ponte Chara
Lake Elsinore, CA 92532-0231
Phone (951) 245-6357
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19527 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hemet Healthcare Surgicenter, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Interventional Pain Medicine Physician
- Hemet, CA
- NPI 1073827929
-
- Pain Medicine (Anesthesiology) Physician
- Murrieta, CA
- NPI 1306598164
-
- Ambulatory Surgical Clinic/Center
- Hemet, CA
- NPI 1982674065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1285814632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 PONTE CHARA",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925320231",
"telephone_number": "951-245-6357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 E LATHAM AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925434445",
"telephone_number": "951-925-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECARO",
"first_name": "ROBERT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-13",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "CALIFORNIA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.