Individual provider Active NPI

Robert Frederick Warburton, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tustin, CA
National Provider Identifier
1477021764
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95012975 Issued in CA
Practice address
250 W Main St Ste 101
Tustin, CA 92780-7717
Phone
(714) 461-4121
Fax
(385) 900-1673
NPI assigned
Nov 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 61527591 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 294766 AZ
Family Nurse Practitioner 363LF0000X ARNP9376910 FL
Family Nurse Practitioner 363LF0000X 9376910 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95012975 CA Primary

Addresses

Primary practice location

250 W Main St Ste 101
Tustin, CA 92780-7717

Mailing address

250 W Main St Ste 101
Tustin, CA 92780-7717
Phone (714) 461-4121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250224002476 WA Practitioner - Nurse Practitioner 5698107662 Reassigns benefits to 1 organization
I20250224002645 AZ Practitioner - Nurse Practitioner 5698107662 Reassigns benefits to 1 organization
I20250811001905 CA Practitioner - Nurse Practitioner 5698107662 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9376910CAMDFamily Nurse Practitioner
ARNP9376910FLMDFamily Nurse Practitioner
294766AZMDPsychiatric/Mental Health Nurse Practitioner
61527591WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 21, 2025 Accepting new patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince May 29, 2025 Accepting new patients
Columbia Anesthesia Services, LLC PastSince Oct 1, 2019 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1477021764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W MAIN ST STE 101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807717",
            "telephone_number": "714-461-4121",
            "fax_number": "385-900-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W MAIN ST STE 101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807717",
            "telephone_number": "714-461-4121",
            "fax_number": "385-900-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARBURTON",
        "first_name": "ROBERT",
        "middle_name": "FREDERICK",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-05",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "61527591",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "294766",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9376910",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "9376910",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95012975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.