Individual provider Active NPI

Robert J Debos, PA

  • Surgical Physician Assistant
  • Turlock, CA
National Provider Identifier
1477543841
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA18117 Issued in CA
Practice address
1051 E Tuolumne Rd
Ste 103
Turlock, CA 95382-1546
Phone
(209) 216-5900
Fax
(209) 216-5909
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA18117 CA Primary

Addresses

Primary practice location

1051 E Tuolumne Rd
Ste 103
Turlock, CA 95382-1546

Mailing address

1051 E Tuolumne Rd
Ste 103
Turlock, CA 95382-1546
Phone (209) 216-5900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051121001029 CA Practitioner - Physician Assistant 8729007547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of California, Davis School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Orthopedic Medical CorporationGroup PAC ID 2466595376, 2 clinicians

Practice addresses (Care Compare)

1051 E Tuolumne Rd
Turlock, CA 95382-1546
Phone (209) 216-5900

Hospital & facility affiliations

  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179

Merit-based Incentive Payment System (MIPS)

Final score
94.83 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
18117CAMDAcupuncturist
PA18117CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Cal Orthopedic Medical Associates, Inc. Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1477543841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 E TUOLUMNE RD",
            "address_2": "STE 103",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821546",
            "telephone_number": "209-216-5900",
            "fax_number": "209-216-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 E TUOLUMNE RD",
            "address_2": "STE 103",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821546",
            "telephone_number": "209-216-5900",
            "fax_number": "209-216-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOS",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA18117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.