Active NPI
Paul M Robinson, MD
- General Practice Physician
- Marina del Rey, CA
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G72600
- Practice address
- 14069 Marquesas Way
Suite 216D
Marina del Rey, CA 90292-6052 - Phone
- (310) 301-3031
- Fax
- (310) 301-3001
- NPI assigned
- Feb 7, 2007
- Last updated
- Oct 22, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G72600 | CA | Primary |
Addresses
Primary practice location
14069 Marquesas Way
Suite 216D
Marina del Rey, CA 90292-6052
Mailing address
14069 Marquesas Way
Suite 216D
Marina del Rey, CA 90292-6052
Phone (310) 301-3031
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G726000 | Medicaid | CA | |
| 00G726000 | Other | CA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72600 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toluca Lake Medical Center Inc | General Practice | Past | Accepting new patients |
| V-Tach Medical Group Inc. | Past | Accepting new patients | |
| Rito C Hill, a Medical Corporation | Past | Accepting new patients | |
| Paul M Robinson MD | General Practice | Past | Accepting new patients |
| Gap Medical Equipment Inc. | Past | Accepting new patients | |
| San Cristobal Medical Group | General Practice | Past | Accepting new patients |
| Providence Health System Southern California | Past | Accepting new patients |
Organizations & group practices 8
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.
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General Practice
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- Durable Medical Equipment & Medical Supplies
- North Hollywood, CA
- NPI 1710277819
-
dba Providence Little Company of Mary Medical Center Torrance
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1689699472
-
- General Practice Physician
- Los Angeles, CA
- NPI 1770533655
-
- General Practice Physician
- Toluca Lake, CA
- NPI 1346482601
-
- Primary Care Clinic/Center
- Costa Mesa, CA
- NPI 1578501110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256169600000",
"number": "1447390067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14069 MARQUESAS WAY",
"address_2": "SUITE 216D",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926052",
"telephone_number": "310-301-3031",
"fax_number": "310-301-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14069 MARQUESAS WAY",
"address_2": "SUITE 216D",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926052",
"telephone_number": "310-301-3031",
"fax_number": "310-301-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "PAUL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2009-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G72600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G726000",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00G726000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.