Individual provider Active NPI

Michael Eugene Robinson, AUD

  • Audiologist
  • Rancho Cucamonga, CA
National Provider Identifier
1407900301
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU376 Issued in CA
Practice address
9033 Baseline Rd
Suite F
Rancho Cucamonga, CA 91730-1255
Phone
(909) 989-4800
Fax
(909) 989-4883
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU376 CA Primary

Addresses

Primary practice location

9033 Baseline Rd
Suite F
Rancho Cucamonga, CA 91730-1255

Mailing address

9033 Baseline Rd
Suite F
Rancho Cucamonga, CA 91730-1255
Phone (909) 989-4800

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ06912ZOtherCAAUDIOLOGIST
ZZZ86828ZOtherCAAUDIOLOGIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091116000081 CA Practitioner - Qualified Audiologist 7618015595 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU376CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Audiological Services Inc CurrentSince Jul 23, 2009 Accepting new patients

Locations

9033 Base Line Rd
Ste F
Rch Cucamonga, CA 91730
Phone (909) 987-2528

Organizations & group practices 1

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1407900301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 BASELINE RD",
            "address_2": "SUITE F",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301255",
            "telephone_number": "909-989-4800",
            "fax_number": "909-989-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 BASELINE RD",
            "address_2": "SUITE F",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301255",
            "telephone_number": "909-989-4800",
            "fax_number": "909-989-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGIST",
            "identifier": "ZZZ06912Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGIST",
            "identifier": "ZZZ86828Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.