Robert Logan Avery, M.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

A52052 Issued in CA

Practice address

525 E Micheltorena St Ste a
Santa Barbara, CA 93103-4211

Phone

(805) 963-1648

Fax

(805) 965-5214

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Ophthalmology

Education

Johns Hopkins University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Retina ConsultantsGroup PAC ID 6608860135, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (13 of 14)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: ravery@caretina.intellechartdirect.net

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.

• California Retina Consultants

  • Retina Specialist (Ophthalmology) Physician
  • Bakersfield, CA
  • NPI 1083757322

  CA, Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• California Retina Consultants

  • Retina Specialist (Ophthalmology) Physician
  • San Luis Obispo, CA
  • NPI 1144405309

  CA, Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Sansum Clinic

  • Multi-Specialty Clinic/Center
  • Santa Barbara, CA
  • NPI 1154354504

  CA

  Medicare reassignment NPD
• California Retina Consultants

  • Retina Specialist (Ophthalmology) Physician
  • Visalia, CA
  • NPI 1750641775

  Specialist

  NPD Authorized official
• California Retina Consultants

  • Retina Specialist (Ophthalmology) Physician
  • Palmdale, CA
  • NPI 1194868398

  Specialist

  NPD (past) Authorized official
• California Retina Consultants

  • Retina Specialist (Ophthalmology) Physician
  • Santa Barbara, CA
  • NPI 1386737617

  Specialist

  NPD
• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1144648015
  NPD
• Sansum Clinic

  • Multi-Specialty Clinic/Center
  • Santa Barbara, CA
  • NPI 1932121514
  NPD
• Bakersfield Memorial Hospital

  • Institutional Pharmacy
  • Bakersfield, CA
  • NPI 1144256363
  NPD (past)
• Community Memorial Health System

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1215903018
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Oxnard, CA
  • NPI 1073665360

  Retina Specialist

  NPD (past)
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1700985496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MICHELTORENA ST STE A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931034211",
            "telephone_number": "805-963-1648",
            "fax_number": "805-965-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MICHELTORENA ST STE A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931034211",
            "telephone_number": "805-963-1648",
            "fax_number": "805-965-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "ROBERT",
        "middle_name": "LOGAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A52052",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A52052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Radiological Association
• Aaron Miles Austin, D.C.
• Emily Austin, DC
• Hibet Avalos
• Mayra Avendano
• Allyson Angelina Avila
• Anna Avila
• Elena Avila
• Kendall Marie Avila, MA
• Nancy Yareth Aviles Moreno, AMFT

• All providers in Santa Barbara, CA
• Retina Specialist (Ophthalmology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.

Verify at the official NPI Registry.