Individual provider Active NPI

Robert Burnham Lufkin, MD

  • Diagnostic Radiology Physician
  • Santa Monica, CA
National Provider Identifier
1487684379
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G43135 Issued in CA
Practice address
2309 Santa Monica Blvd # 108
Santa Monica, CA 90404-2040
Phone
(310) 227-4126
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G43135 CA Primary

Addresses

Primary practice location

2309 Santa Monica Blvd # 108
Santa Monica, CA 90404-2040

Mailing address

2309 Santa Monica Blvd # 108
Santa Monica, CA 90404-2040
Phone (310) 227-4126

Other identifiers 1

IdentifierTypeStateIssuer
00G431350OtherCAMEDICAL

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
I20051122000428 CA Practitioner - Diagnostic Radiology 7618996489 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Virginia School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Advanced Imaging Medical Group IncGroup PAC ID 1557379096, 13 clinicians

Practice addresses (Care Compare)

10767 Riverside Dr
North Hollywood, CA 91602-2324
Phone (818) 301-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43135CAMDNutrition Education Nutritionist
G43135CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Advanced Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Oct 21, 2004 Accepting new patients
County of Los Angeles CurrentSince Mar 1, 2020 Accepting new patients
Hyperdeas Com LLC Diagnostic Radiology CurrentSince Apr 9, 2024 Accepting new patients
Sra Medical Imaging LLC Diagnostic Radiology CurrentSince Jul 31, 2023 Accepting new patients
County of Los Angeles CurrentSince Mar 1, 2020 Accepting new patients
Lucien Diagnostic Imaging Inc Diagnostic Radiology Past Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology Past Accepting new patients
Southtowns Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients
Albert J. Cook M.D. Inc Diagnostic Radiology Past Accepting new patients
Ohio Imaging Associates Inc Diagnostic Radiology Past Accepting new patients
Penn Imaging Associates PC Diagnostic Radiology Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

145 S Doheny Dr
Beverly Hills, CA 90211
Phone (310) 550-5858

3972 Barranca Pkwy
#J408
Irvine, CA 92606

10767 Riverside Dr
North Hollywood, CA 91602
Phone (818) 301-6700

171 Pier Ave
Santa Monica, CA 90405
Phone (310) 721-7547

2309 Santa Monica Blvd
#108
Santa Monica, CA 90404
Phone (310) 227-4126

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

18388 Clark St
Ste 115
Tarzana, CA 91356
Phone (818) 609-0911

23456 Hawthorne Blvd
Ste 120
Torrance, CA 90505
Phone (818) 710-6011

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

14915 Burbank Blvd
Van Nuys, CA 91411
Phone (818) 909-7111

7345 Medical Center Dr
Ste 130
West Hills, CA 91307
Phone (818) 710-6011

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1487684379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 SANTA MONICA BLVD # 108",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042040",
            "telephone_number": "310-227-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 SANTA MONICA BLVD # 108",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042040",
            "telephone_number": "310-227-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUFKIN",
        "first_name": "ROBERT",
        "middle_name": "BURNHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G43135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00G431350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.