Active NPI
Robert Mitchell Maywood, M.D.
- Orthopaedic Surgery Physician
- San Diego, CA
National Provider Identifier
1487737524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G80692
- Practice address
- 3444 Kearny Villa Rd
Suite # 401
San Diego, CA 92123-1959 - Phone
- (858) 616-6400
- Fax
- (858) 616-6936
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G80692 | CA | Primary |
Addresses
Primary practice location
3444 Kearny Villa Rd
Suite # 401
San Diego, CA 92123-1959
Mailing address
3444 Kearny Villa Rd
Suite # 401
San Diego, CA 92123-1959
Phone (858) 616-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G80692 | Other | CA | CA STATE LIC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temecula Medical Corporation | Orthopaedic Surgery | Current | Accepting new patients |
| Thomas W. Harris MD Inc | Past | Accepting new patients | |
| Aventura Orthopedicare Center PA | Orthopaedic Surgery | Past | Accepting new patients |
| Walter Alain Thomas M D Inc | Orthopaedic Surgery | Past | Accepting new patients |
| Synergy Orthopedic Specialists, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
41715 Winchester Rd
Ste 101
Temecula, CA 92590
Phone (858) 616-6400
41715 Winchester Rd
Ste 202
Temecula, CA 92590
Phone (951) 296-0788
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Temecula, CA
- NPI 1922333723
Orthopaedic Surgery
-
- Specialist
- San Diego, CA
- NPI 1992942858
-
- Orthopaedic Surgery Physician
- Thousand Oaks, CA
- NPI 1316001167
-
- Orthopaedic Surgery Physician
- Aventura, FL
- NPI 1104029081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1487737524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3444 KEARNY VILLA RD",
"address_2": "SUITE # 401",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231959",
"telephone_number": "858-616-6400",
"fax_number": "858-616-6936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3444 KEARNY VILLA RD",
"address_2": "SUITE # 401",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231959",
"telephone_number": "858-616-6400",
"fax_number": "858-616-6936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYWOOD",
"first_name": "ROBERT",
"middle_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G80692",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA STATE LIC",
"identifier": "G80692",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.