Individual provider Active NPI

Robert A Loera, MD

  • Internal Medicine Physician
  • Hemet, CA
National Provider Identifier
1639287642
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BL3810757 Issued in CA
Practice address
1011 Devonshire
Suite 101
Hemet, CA 92545
Phone
(951) 658-7284
Fax
(951) 766-5004
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BL3810757 CA Primary

Addresses

Primary practice location

1011 Devonshire
Suite 101
Hemet, CA 92545

Mailing address

1011 Devonshire
Suite 101
Hemet, CA 92545
Phone (951) 658-7284

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
I20101215000319 CA Practitioner - Internal Medicine 5496942542 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stanley H Schwartz MD, Inc Internal Medicine CurrentSince Aug 9, 2010 Accepting new patients
New Millenium Medical Associates Internal Medicine Past Accepting new patients
W. Wasef Atiya Past Accepting new patients
Bolsa Medical Group Internal Medicine Past Accepting new patients

Locations

12980 Frederick St
Ste I
Moreno Valley, CA 92553
Phone (951) 243-3868

7724 California Ave
Riverside, CA 92504
Phone (951) 977-8525

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639287642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 DEVONSHIRE",
            "address_2": "SUITE 101",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92545",
            "telephone_number": "951-658-7284",
            "fax_number": "951-766-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 DEVONSHIRE",
            "address_2": "SUITE 101",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92545",
            "telephone_number": "951-658-7284",
            "fax_number": "951-766-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOERA",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "BL3810757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.