NPIMap

Organization Active NPI

Robin K Dore MD Inc

  • Rheumatology Physician
  • Tustin, CA
National Provider Identifier
1427248491
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
G33113 Issued in CA
Legal business name
ROBIN K DORE MD INC
Practice address
18102 Irvine Blvd
Suite 104
Tustin, CA 92780-3423
Phone
(714) 505-5500
Fax
(714) 505-3381
NPI assigned
Jul 26, 2007
Last updated
May 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Dr. Robin K Dore, MDNPI 1619972510
Title
President
Phone
(714) 505-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X G33113 CA Primary

Addresses

Primary practice location

18102 Irvine Blvd
Suite 104
Tustin, CA 92780-3423

Mailing address

18102 Irvine Blvd
Suite 104
Tustin, CA 92780-3423
Phone (714) 505-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050816001161 CA Part B Supplier - Clinic/Group Practice 2264462563 Receives reassigned benefits from 2 practitioners
Practice locations: Tustin, CA

National Provider Directory

National Provider Directory

Locations

1120 W La Palma Ave
Ste 7
Anaheim, CA 92801
Phone (714) 490-5780

12791 Newport Ave
Ste 201
Tustin, CA 92780
Phone (714) 505-0800

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1427248491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD",
            "address_2": "SUITE 104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803423",
            "telephone_number": "714-505-5500",
            "fax_number": "714-505-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD",
            "address_2": "SUITE 104",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803423",
            "telephone_number": "714-505-5500",
            "fax_number": "714-505-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN K DORE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "DORE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-505-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G33113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.