Gregory a Robertson MD a Professional Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G50555 Issued in CA

Legal business name

GREGORY A ROBERTSON MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

20311 SW Acacia St
Ste 100
Newport Beach, CA 92660-1733

Phone

(949) 891-1441

Fax

(949) 878-4845

NPI assigned

Mar 4, 2009

Last updated

Jul 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory A Robertson, M.D.NPI 1932281011

Title

Ceo

Phone

(949) 891-1441

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory A Robertson, M.D.

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1932281011
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1417197443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20311 SW ACACIA ST",
            "address_2": "STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601733",
            "telephone_number": "949-891-1441",
            "fax_number": "949-878-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 SW ACACIA ST",
            "address_2": "STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601733",
            "telephone_number": "949-891-1441",
            "fax_number": "949-878-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY A ROBERTSON MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-891-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G50555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kate Greenya, AU.D.
• Greg Barme MD Inc.
• Gregg Feinerman MD Inc. (Feinerman Vision Center)
• Megan Gregor, NP
• Theodore K. Gregorius, M.D.
• Gregory Alan. Bartlow, M.D., Inc.
• Gregory C Di Rocco, M.D., Inc.
• Madeline Gregory
• Julia Rahmann Grepo, PA-C
• Sonia Ralli Grewal, M.D.

• Internal Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.