Individual provider Active NPI

Robert O Nutting, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Gardena, CA
National Provider Identifier
1407853062
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
C24356 Issued in CA
Practice address
1246 W 155TH St
Gardena, CA 90247-4011
Phone
(310) 768-2255
Fax
(310) 323-0914
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X C24356 CA Primary

Addresses

Primary practice location

1246 W 155TH St
Gardena, CA 90247-4011

Mailing address

2300 The Strand
Manhattan Beach, CA 90266-4318
Phone (310) 545-0538

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C24356CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Interoperability endpoints

  • Direct secure messaging: ronutting@direct-address.org
  • Direct secure messaging: ronutting@directaddress.net

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1407853062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 THE STRAND",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664318",
            "telephone_number": "310-545-0538",
            "fax_number": "310-546-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 W 155TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474011",
            "telephone_number": "310-768-2255",
            "fax_number": "310-323-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTING",
        "first_name": "ROBERT",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "C24356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.