Robert A Hardesty, M.D., F.A.C.S.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G40871 Issued in CA

Practice address

4646 Brockton Ave
Suite 302
Riverside, CA 92506-0102

Phone

(951) 686-7600

Fax

(951) 369-9999

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Loma Linda University Health Care Inc

  dba Lluhc

  • Surgery Physician
  • Loma Linda, CA
  • NPI 1245518075
  NPD (past)
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563062400000",
    "number": "1437170933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10609",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 BROCKTON AVE",
            "address_2": "SUITE 302",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060102",
            "telephone_number": "951-686-7600",
            "fax_number": "951-369-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Brockton Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925014006",
            "country_code": "US",
            "telephone_number": "951-784-4088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDESTY",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "GO4871",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G40871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Happy Heroes Medical Transport, LLC
• Hadi Harati, M.D.
• Harbinder S Brar MD Inc
• Joyce Diane Harden, MFT
• Chelsea Hardesty
• Tyler Hardge
• Samantha Lynn Hardin
• Alanna Hardy
• Angelica Hardy
• Christina Hardy

• Plastic Surgery Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2019; 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.