Individual provider Active NPI

David T Robles, MD, PHD

  • Dermatology Physician
  • Pomona, CA
National Provider Identifier
1326156233
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A105427 Issued in CA
Practice address
160 E Artesia St Ste 325
Pomona, CA 91767-2922
Phone
(909) 620-5300
Fax
(909) 620-8900
NPI assigned
Aug 29, 2006
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A105427 CA Primary

Addresses

Primary practice location

160 E Artesia St Ste 325
Pomona, CA 91767-2922

Mailing address

160 E Artesia St Ste 325
Pomona, CA 91767-2922
Phone (909) 620-5300

Other identifiers 1

IdentifierTypeStateIssuer
1326156233MedicaidCA

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
I20090212000204 CA Practitioner - Dermatology 9436214111 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

160 E Artesia St
Suite 325
Pomona, CA 91767-2922
Phone (909) 620-5200

4244 Riverwalk Pkwy
Suite 280
Riverside, CA 92505-3373
Phone (951) 899-2289

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18
Removal of tissue12
Removal of skin lesions863
Removal or shaving of skin growth1-10
Skin biopsy230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
105427CAMDMarriage & Family Therapist
A105427CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Tree Dermatology CurrentSince Apr 19, 2022 Accepting new patients
Chaparral Medical Group, Inc. Dermatology Current Accepting new patients
Chaparral Medical Group Inc CurrentSince Aug 18, 2011 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
Chaparral Medical Group, Inc. Dermatology CurrentSince Oct 25, 2014 Accepting new patients

Locations

160 E Artesia St
Ste 325
Pomona, CA 91767
Phone (909) 620-5200

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

840 Towne Center Dr
Pomona, CA 91767

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

4244 Riverwalk Pkwy
Ste 280
Riverside, CA 92505
Phone (951) 319-2206

Organizations & group practices 5

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1326156233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST STE 325",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672922",
            "telephone_number": "909-620-5300",
            "fax_number": "909-620-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST STE 325",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672922",
            "telephone_number": "909-620-5300",
            "fax_number": "909-620-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "DAVID",
        "middle_name": "T",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A105427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326156233",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.