Individual provider Active NPI

Paul M Robinson, MD

  • General Practice Physician
  • Marina del Rey, CA
National Provider Identifier
1447390067
Registry record updated Oct 22, 2009
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G72600 Issued in CA
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G726000MedicaidCA
00G726000OtherCABLUE 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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72600CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Jun 1, 2012 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.

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

Verify at the official NPI Registry.