Individual provider Active NPI

Robert Hosseini, M.D.

  • Family Medicine Physician
  • Redondo Beach, CA
National Provider Identifier
1649355256
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A63298 Issued in CA
Practice address
1728 S Catalina Ave
Redondo Beach, CA 90277-5517
Phone
(310) 540-7200
Fax
(310) 540-5455
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A63298 CA Primary

Addresses

Primary practice location

1728 S Catalina Ave
Redondo Beach, CA 90277-5517

Mailing address

1728 S Catalina Ave
Redondo Beach, CA 90277-5517
Phone (310) 540-7200

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
I20100908000242 CA Practitioner - Family Practice 1254455611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1728 S Catalina Ave
Redondo Beach, CA 90277-5504
Phone (310) 540-7200

Hospital & facility affiliations

  • Home Health Care Dynasty Home health agency, Sherman Oaks, CA, CCN 058446
  • Torrance Memorial Home Health Home health agency, Torrance, CA, CCN 057788
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions81
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A63298CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert B Hosseini MD Inc Family Medicine CurrentSince Oct 11, 2002 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

1728 S Catalina Ave
Redondo Beach, CA 90277
Phone (310) 540-7200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: roberthosseini.roberthosseini@149864.advancedmd-direct.com

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1649355256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 S CATALINA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775517",
            "telephone_number": "310-540-7200",
            "fax_number": "310-540-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 S CATALINA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775517",
            "telephone_number": "310-540-7200",
            "fax_number": "310-540-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSEINI",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A63298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.