Robert L Poblano Jr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21227 Issued in CA

Practice address

3100 Oro Dam Blvd E
Oroville, CA 95966-5183

Phone

(530) 534-4568

Fax

(530) 534-3657

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rob L Poblano Jr. Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• RP Rehab and Physical Therapy a Professional Corporation

  • Specialist
  • Oroville, CA
  • NPI 1720485451
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407995160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 PENDERGAST LN",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959668299",
            "telephone_number": "530-321-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 ORO DAM BLVD E",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959665183",
            "telephone_number": "530-534-4568",
            "fax_number": "530-534-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POBLANO",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT212270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROB",
            "last_name": "POBLANO",
            "middle_name": "L",
            "suffix": "JR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Larry Pierce Jr.
• Lynn Marie Pike, LPN
• Barbara Lynn Pilgram, RN
• Gina Pinocchio
• James Paul Plummer, PT
• George Arvin Polhemus I, RPH
• Rosa Ponce
• Lynsey Michele Poole
• Adam Powell, CRNA
• Donald Edwin Primer

• Physical Therapist in Oroville, CA
• Providers in Oroville, CA by specialty
• Physical Therapist in California

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.