Active NPI
Theodore R Robinson III
- School Social Worker
- Riverside, CA
National Provider Identifier
1306405949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 1405 Spruce St Ste a
Riverside, CA 92507-2410 - Phone
- (951) 715-5050
- NPI assigned
- Jun 7, 2019
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | Primary |
Addresses
Primary practice location
1405 Spruce St Ste a
Riverside, CA 92507-2410
Mailing address
47915 Oasis St
Indio, CA 92201-6950
Phone (760) 863-8638
Other practice location 1
47915 Oasis St
Indio, CA 92201-6950
Phone (760) 863-8638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1306405949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47915 OASIS ST",
"city": "INDIO",
"state": "CA",
"postal_code": "922016950",
"telephone_number": "760-863-8638",
"fax_number": "760-863-8812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 SPRUCE ST STE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925072410",
"telephone_number": "951-715-5050"
}
],
"practiceLocations": [
{
"address_1": "47915 Oasis St",
"address_purpose": "LOCATION",
"city": "Indio",
"state": "CA",
"postal_code": "922016950",
"country_code": "US",
"telephone_number": "760-863-8638",
"fax_number": "760-863-8112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "THEODORE",
"middle_name": "R",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-07",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.