Individual provider Active NPI

Robert Poquechoque, MD

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1427208081
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A118031 Issued in CA
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151015001197 CA Practitioner - Family PracticePractitioner - Anesthesiology 0648491753 Reassigns benefits to 5 organizations

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
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

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

LicenseStateTypeSpecialty
118031CAMDSocial Worker
A118031CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Pih Health Physicians CurrentSince Aug 1, 2024 Accepting new patients
County of Santa Clara Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients
Pih Health Physicians Family Medicine Current Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Aug 8, 2018 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Aug 8, 2018 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 CurrentSince Aug 10, 2015 Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 15, 2020 Accepting new patients
County of Santa Clara CurrentSince Feb 1, 2017 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.

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

Verify at the official NPI Registry.