Individual provider Active NPI

Robert James Preston, MD

  • Trauma Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1538336581
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
C134885 Issued in CA
Practice address
2051 Marengo St
Division of Trauma and Critical Care Usc
Los Angeles, CA 90033-1352
Phone
(323) 865-1241
NPI assigned
May 9, 2008
Last updated
Mar 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 128134 NC
Trauma Surgery Physician 2086S0127X C134885 CA Primary

Addresses

Primary practice location

2051 Marengo St
Division of Trauma and Critical Care Usc
Los Angeles, CA 90033-1352

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 865-1241

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
I20150507000935 CA Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 5991864142 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vep MLK Emergency Medical Group IncGroup PAC ID 2860707304, 18 clinicians
Capital Hospitalist Medical Group IncGroup PAC ID 8921308636, 30 clinicians

Practice addresses (Care Compare)

1680 E 120TH St
Los Angeles, CA 90059-3026
Phone (424) 338-8144

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
128134NCMDEmergency Medicine Physician
C134885CAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bel Air Critical Care Medical Group, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Superior Hospitalist Medical Group Inc CurrentSince Nov 1, 2020 Accepting new patients
Southern California Hospitalist Network Medical Group Inc CurrentSince Nov 1, 2015 Accepting new patients
Vep MLK Emergency Medical Group Inc Emergency Medicine CurrentSince Dec 15, 2015 Accepting new patients
Capital Hospitalist Medical Group Inc Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
North Carolina Emergency Physicians, PLLC Emergency Medicine PastSince Feb 9, 2020 Accepting new patients

Locations

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1538336581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-865-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MARENGO ST",
            "address_2": "DIVISION OF TRAUMA AND CRITICAL CARE USC",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331352",
            "telephone_number": "323-865-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "128134",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "C134885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.