Individual provider Active NPI

Robert A Lebby, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Aliso Viejo, CA
National Provider Identifier
1457344129
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
G69980 Issued in CA
Practice address
11 Mareblu Ste 200
Aliso Viejo, CA 92656-3044
Phone
(949) 446-8990
Fax
(949) 446-8535
NPI assigned
Aug 26, 2005
Last updated
Aug 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X G69980 CA
Sleep Medicine (Internal Medicine) Physician 207RS0012X G69980 CA Primary

Addresses

Primary practice location

11 Mareblu Ste 200
Aliso Viejo, CA 92656-3044

Mailing address

1216 Bermuda Dr
Laguna Beach, CA 92651-1904
Phone (949) 338-4799

Other practice location 1

2140 W Olympic Blvd
Olympic Sleep Laboratory - Suite # 322
Los Angeles, CA 90006-2206
Phone (213) 380-1980

Other identifiers 1

IdentifierTypeStateIssuer
00G699800MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060106000452 CA Practitioner - Sleep MedicinePractitioner - Internal MedicinePractitioner - Pulmonary Disease 0941223986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Internal Medicine, Pulmonary Disease
Education
University of California, Irvine, California College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Sleep Adoption and Development Clinic IncGroup PAC ID 1456782283, 2 clinicians

Practice addresses (Care Compare)

4902 Irvine Ctr Dr
Suite 104
Irvine, CA 92604-3334
Phone 9494468990234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69980CAMDPharmacist
G69980CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Sleep, Adoption and Development Clinic, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients

Locations

11 Mareblu
Ste 200
Aliso Viejo, CA 92656
Phone (949) 446-8990

4902 Irvine Center Dr
Ste 104
Irvine, CA 92604
Phone (949) 446-8990

Organizations & group practices 3

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1457344129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 BERMUDA DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511904",
            "telephone_number": "949-338-4799",
            "fax_number": "949-497-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAREBLU STE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563044",
            "telephone_number": "949-446-8990",
            "fax_number": "949-446-8535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 W Olympic Blvd",
            "address_2": "Olympic Sleep Laboratory - Suite # 322",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900062206",
            "country_code": "US",
            "telephone_number": "213-380-1980",
            "fax_number": "213-380-1976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBBY",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G69980",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "G69980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G699800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.