Active NPI
Robert Lewis Ross, M.D.
- Psychiatry Physician
- Santa Monica, CA
National Provider Identifier
1346463189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C36267
- Practice address
- 3201 Wilshire Blvd
Ste. 306
Santa Monica, CA 90403-2344 - Phone
- (310) 829-6010
- Fax
- (310) 829-5196
- NPI assigned
- Apr 10, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C36267 | CA | Primary |
Addresses
Primary practice location
3201 Wilshire Blvd
Ste. 306
Santa Monica, CA 90403-2344
Mailing address
3201 Wilshire Boulevard
Ste. 306
Santa Monica, CA 90403-2335
Phone (310) 829-6010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 11, 2013 through Nov 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C36267 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1346463189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 WILSHIRE BOULEVARD",
"address_2": "STE. 306",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904032335",
"telephone_number": "310-829-6010",
"fax_number": "310-829-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 WILSHIRE BLVD",
"address_2": "STE. 306",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904032344",
"telephone_number": "310-829-6010",
"fax_number": "310-829-5196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "ROBERT",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C36267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.