Active NPI
Hinds Medical Group a Professional Corporation
- Internal Medicine Physician
- Pismo Beach, CA
National Provider Identifier
1497857940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A75086
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A75086 | CA | Primary |
| Pulmonary Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX67680 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.