Organization Active NPI

Robert P Drake

  • Clinic/Center
  • Hemet, CA
National Provider Identifier
1447341870
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
250000447 Issued in CA
Legal business name
ROBERT P DRAKE
Practice address
255 N Gilbert
BLDG B
Hemet, CA 92543
Phone
(951) 652-4386
Fax
(951) 925-4948
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Mrs. Debbie H Kollar
Title
Insurance Biller
Phone
(951) 652-4386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 250000447 CA Primary

Addresses

Primary practice location

255 N Gilbert
BLDG B
Hemet, CA 92543

Mailing address

255 N Gilbert
BLDG B
Hemet, CA 92543
Phone (951) 652-4386

Other identifiers 1

IdentifierTypeStateIssuer
05C0001230MedicaidCA

Other names 1

  • Podiatric Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110520000202 CA Part B Supplier - Ambulatory Surgical Center 0042496374 Practice locations: Hemet, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Podiatric Surgery CenterCCN 05C0001230
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1447341870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N GILBERT",
            "address_2": "BLDG B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92543",
            "telephone_number": "951-652-4386",
            "fax_number": "951-925-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N GILBERT",
            "address_2": "BLDG B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92543",
            "telephone_number": "951-652-4386",
            "fax_number": "951-925-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P DRAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "KOLLAR",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "INSURANCE BILLER",
        "authorized_official_telephone_number": "951-652-4386",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "250000447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05C0001230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Podiatric Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.