NPIMap

Individual provider Active NPI

Robert Joseph Giombetti, M.D.

  • Neurology Physician
  • Marina del Rey, CA
National Provider Identifier
1659445211
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G61748 Issued in CA
Practice address
4560 Admiralty Way
Suite 352
Marina del Rey, CA 90292-5423
Phone
(310) 306-8876
Fax
(310) 822-3313
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G61748 CA Primary

Addresses

Primary practice location

4560 Admiralty Way
Suite 352
Marina del Rey, CA 90292-5423

Mailing address

4560 Admiralty Way
Suite 352
Marina del Rey, CA 90292-5423
Phone (310) 306-8876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100727000965 CA Practitioner - Neurology 3971498783 Reassigns benefits to 1 organization
Practice locations: Marina del Rey, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Rochester School of Medicine and Dentistry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Neuro Medical Services IncGroup PAC ID 9638567753, 6 clinicians

Practice addresses (Care Compare)

4560 Admiralty Way
Suite 352
Marina del Rey, CA 90292-5448
Phone (310) 306-8876

Hospital & facility affiliations

  • Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739
  • Memorial Hospital of Gardena Hospital, Gardena, CA, CCN 050468
  • College Medical Center Hospital, Long Beach, CA, CCN 050776
  • Memorial Hospital of Gardena D/P SNF Nursing home, Gardena, CA, CCN 555441

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G61748CAMDNeurology Physician

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Southern California Healthcare System, Inc Past Accepting new patients
THC - Orange County LLC Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 4

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1659445211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY",
            "address_2": "SUITE 352",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925423",
            "telephone_number": "310-306-8876",
            "fax_number": "310-822-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY",
            "address_2": "SUITE 352",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925423",
            "telephone_number": "310-306-8876",
            "fax_number": "310-822-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOMBETTI",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G61748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

Verify at the official NPI Registry.