Active NPI
Robert Y Meyerson, MD
- Family Medicine Physician
- Panorama City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H1259
- Practice address
- 14427 Chase St Ste 100
Panorama City, CA 91402-3020 - Phone
- (818) 830-7751
- Fax
- (818) 891-7892
- NPI assigned
- Jul 31, 2006
- Last updated
- Jun 3, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H1259 | TX | Primary |
Addresses
Primary practice location
14427 Chase St Ste 100
Panorama City, CA 91402-3020
Mailing address
4101 Bradwood Rd
Austin, TX 78722-1132
Phone (512) 217-7187
Other practice location 1
4515 Seton Center Pkwy
Suite 220
Austin, TX 78759-5290
Phone (512) 338-8388
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123752102 | Medicaid | TX | |
| 123752105 | Medicaid | TX | |
| 123752110 | Medicaid | TX | |
| 123752111 | Medicaid | TX |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14427 Chase St
Panorama City, CA 91402-3020
Phone (818) 830-7751
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H1259 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santo Nino Health Center | Current | Accepting new patients | |
| Innovative Medical Solutions Inc a Medical Group | Current | Accepting new patients |
Locations
8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426
14427 Chase St
Ste 100
Panorama City, CA 91402
Phone (818) 830-7751
14860 Roscoe Blvd
Ste 200
Panorama City, CA 91402
Phone (818) 830-7751
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Panorama City, CA
- NPI 1194461129
-
- Adolescent Medicine (Internal Medicine) Physician
- Panorama City, CA
- NPI 1972624955
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Austin Medical Center
- General Acute Care Hospital
- Austin, TX
- NPI 1629021845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1629084983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 BRADWOOD RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787221132",
"telephone_number": "512-217-7187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14427 CHASE ST STE 100",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914023020",
"telephone_number": "818-830-7751",
"fax_number": "818-891-7892"
}
],
"practiceLocations": [
{
"address_1": "4515 Seton Center Pkwy",
"address_2": "Suite 220",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787595290",
"country_code": "US",
"telephone_number": "512-338-8388",
"fax_number": "512-406-6274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYERSON",
"first_name": "ROBERT",
"middle_name": "Y",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "H1259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123752102",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123752105",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123752110",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123752111",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.