Individual provider Active NPI

Paul Justin Robinson, D.O.

  • Family Medicine Physician
  • Castro Valley, CA
National Provider Identifier
1750389698
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7597 Issued in CA
Practice address
20700 Lake Chabot Rd
Suite #107
Castro Valley, CA 94546-5402
Phone
(510) 886-5515
Fax
(510) 886-0481
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2012

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 20A7597 CA Primary

Addresses

Primary practice location

20700 Lake Chabot Rd
Suite #107
Castro Valley, CA 94546-5402

Mailing address

20700 Lake Chabot Rd
Suite #107
Castro Valley, CA 94546-5402
Phone (510) 886-5515

Other identifiers 1

IdentifierTypeStateIssuer
20A7597OtherCALICENSE #

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
I20050804000921 CA Practitioner - Family Practice 5193754679 Receives reassigned benefits from 2 practitioners
Practice locations: Castro Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20700 Lake Chabot Rd
Suite 107
Castro Valley, CA 94546-5402
Phone (510) 886-5515

Hospital & facility affiliations

  • Best Home Health Providers, Inc Home health agency, Hayward, CA, CCN 059546
  • Crossroads Home Health & Hospice Home health agency, San Francisco, CA, CCN 557796
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A7597CAMDFamily Medicine Physician
7597CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Doctors Medical Surgical Associates Past Accepting new patients
Ihealth Labs Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1750389698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 LAKE CHABOT RD",
            "address_2": "SUITE #107",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465402",
            "telephone_number": "510-886-5515",
            "fax_number": "510-886-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 LAKE CHABOT RD",
            "address_2": "SUITE #107",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465402",
            "telephone_number": "510-886-5515",
            "fax_number": "510-886-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "PAUL",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "20A7597",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.