Organization Active NPI

Hinds Medical Group a Professional Corporation

  • Internal Medicine Physician
  • Pismo Beach, CA
National Provider Identifier
1497857940
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A75086 Issued in CA
Legal business name
HINDS MEDICAL GROUP A PROFESSIONAL CORPORATION
Practice address
220 Princessa LN
Pismo Beach, CA 93449-3413
Phone
(805) 704-2835
Fax
(052) 213-2998
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Dr. Robert L Hinds, D.O.
Title
President
Phone
(805) 704-2835

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A75086 CA Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 20A6768 CA

Addresses

Primary practice location

220 Princessa LN
Pismo Beach, CA 93449-3413

Mailing address

220 Princessa LN
Pismo Beach, CA 93449-3413
Phone (970) 663-2742

Other identifiers 1

IdentifierTypeStateIssuer
00AX67680MedicaidCA

National Provider Directory

National Provider Directory

Locations

2 James Way
Pismo Beach, CA 93449
Phone (805) 295-6594

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1497857940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PRINCESSA LN",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493413",
            "telephone_number": "970-663-2742",
            "fax_number": "970-667-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PRINCESSA LN",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493413",
            "telephone_number": "805-704-2835",
            "fax_number": "052-213-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINDS MEDICAL GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "HINDS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-704-2835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A75086",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "20A6768",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX67680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pismo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.