Active NPI
Robert S Improta MD, a Medical Corp
- Plastic Surgery Physician
- Camarillo, CA
National Provider Identifier
1417240862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- G19368
- Legal business name
- ROBERT S IMPROTA MD, A MEDICAL CORP
- Practice address
- 2460 N Ponderosa Dr
# A117
Camarillo, CA 93010-2398 - Phone
- (805) 484-2855
- Fax
- (805) 389-1245
- NPI assigned
- May 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert S Improta, MD
- Title
- President
- Phone
- (805) 484-2855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | G19368 | CA | Primary |
Addresses
Primary practice location
2460 N Ponderosa Dr
# A117
Camarillo, CA 93010-2398
Mailing address
2460 N Ponderosa Dr
# A117
Camarillo, CA 93010-2398
Phone (805) 484-2855
National Provider Directory
National Provider DirectoryLocations
2460 N Ponderosa Dr
Ste A117
Camarillo, CA 93010
Phone (805) 430-0002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305763200000",
"number": "1417240862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2460 N PONDEROSA DR",
"address_2": "# A117",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930102398",
"telephone_number": "805-484-2855",
"fax_number": "805-389-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 N PONDEROSA DR",
"address_2": "# A117",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930102398",
"telephone_number": "805-484-2855",
"fax_number": "805-389-1245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT S IMPROTA MD, A MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-18",
"last_updated": "2011-05-19",
"status": "A",
"authorized_official_last_name": "IMPROTA",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-484-2855",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "CA",
"license": "G19368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.