Organization Active NPI

Robert S Improta MD, a Medical Corp

  • Plastic Surgery Physician
  • Camarillo, CA
National Provider Identifier
1417240862
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G19368 Issued in CA
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

Updated by the provider on May 19, 2011

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.