Active NPI
Robert Poquechoque, MD
- Family Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A118031
- Practice address
- 1630 Hilts Ave Apt 104
Los Angeles, CA 90024-5938 - Phone
- (310) 402-2167
- NPI assigned
- Sep 19, 2008
- Last updated
- Aug 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A118031 | CA | |
| Family Medicine Physician | 207Q00000X | A118031 | CA | Primary |
Addresses
Primary practice location
1630 Hilts Ave Apt 104
Los Angeles, CA 90024-5938
Mailing address
1630 Hilts Ave Apt 104
Los Angeles, CA 90024-5938
Phone (310) 402-2167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12214 Lakewood Blvd
Suite 110
Downey, CA 90242-2663
Phone (562) 904-4430
12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118031 | CA | MD | Social Worker |
| A118031 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Physicians | Family Medicine | Current | Accepting new patients |
| Pih Health Physicians | Current | Accepting new patients | |
| County of Santa Clara | Emergency Medicine | Current | Accepting new patients |
| Pih Health Physicians | Family Medicine | Current | Accepting new patients |
| Emergency Physicians Urgent Care Inc. | Current | Accepting new patients | |
| Emergency Physicians Urgent Care Inc. | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Family Medicine | Current | Accepting new patients |
| Golden State Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Bright Medical Associates, Inc. | Past | Accepting new patients |
Locations
212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060
2400 K St
Bakersfield, CA 93301
Phone (661) 885-9909
9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 829-6741
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
26777 Agoura Rd
Ste B4
Calabasas, CA 91302
Phone (818) 880-2225
235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010
1400 S Harbor Blvd
La Habra, CA 90631
Phone (714) 879-3400
12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020
41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585
701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400
Organizations & group practices 12
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.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
dba Accelerated Urgent Care
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1689963845
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1770886558
-
dba Facey Medical Group
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
Family Medicine
-
dba SCVMC Physician Services
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
Emergency Medicine
-
dba Accelerated Urgent Care
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1629442728
-
- Family Medicine Physician
- Downey, CA
- NPI 1265951099
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
dba Providence Express Care
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
- Specialist
- Whittier, CA
- NPI 1578576880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1427208081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 HILTS AVE APT 104",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245938",
"telephone_number": "310-402-2167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 HILTS AVE APT 104",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245938",
"telephone_number": "310-402-2167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POQUECHOQUE",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-19",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A118031",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A118031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.