NPIMap

Individual provider Active NPI

Jorge Fernando Robles Sr., MD

  • Family Medicine Physician
  • El Centro, CA
National Provider Identifier
1366517716
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A52681 Issued in CA
Practice address
1501 Ocotillo Dr Ste C
El Centro, CA 92243-4217
Phone
(760) 353-6363
Fax
(760) 355-9521
NPI assigned
Nov 21, 2006
Last updated
Apr 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A52681 CA Primary

Addresses

Primary practice location

1501 Ocotillo Dr Ste C
El Centro, CA 92243-4217

Mailing address

516 West Aten Road
Suite 2
Imperial, CA 92251
Phone (760) 355-7730

Other identifiers 1

IdentifierTypeStateIssuer
00A52681MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110808000275 CA Practitioner - Family Practice 1355367590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

125 S 5TH St
Brawley, CA 92227-2408
Phone (760) 344-8100

1501 Ocotillo Dr
Suite C
El Centro, CA 92243-4217
Phone (760) 353-6363

516 W Aten Rd
Imperial, CA 92251-9805

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52681CAMDGeneral Practice Dentistry
A52681CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chase Dennis Emergency Medical Group Inc Family Medicine Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Yuma Regional Medical Center Past Accepting new patients
Pioneers Memorial Healthcare District Past Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine Past Accepting new patients
El Centro Regional Medical Center Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Imperial Valley Family Care Medical Group a P CBrawley, CA, CCN 058984 Rural health clinic 5% Or Greater Direct Ownership Interest Oct 1, 1996

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1366517716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 WEST ATEN ROAD",
            "address_2": "SUITE 2",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "92251",
            "telephone_number": "760-355-7730",
            "fax_number": "760-355-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 OCOTILLO DR STE C",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434217",
            "telephone_number": "760-353-6363",
            "fax_number": "760-355-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "JORGE",
        "middle_name": "FERNANDO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A52681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A52681",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.