Active NPI
Robert Daniel Hidalgo Jr., MD
- Specialist
- Irvine, CA
National Provider Identifier
1770576357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G72815
- Practice address
- 18207 E McDurmott
Irvine, CA 92614-4770 - Phone
- (949) 553-0010
- Fax
- (949) 553-0098
- NPI assigned
- Aug 29, 2005
- Last updated
- May 23, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G72815 | CA | Primary |
Addresses
Primary practice location
18207 E McDurmott
Irvine, CA 92614-4770
Mailing address
PO Box 2844
Costa Mesa, CA 92628-2844
Phone (714) 965-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neck & Back Medical Center Inc. | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Weiland Chiropractic, Inc. | Past | Accepting new patients | |
| West Coast Anesthesia Inc a Medical Group | Past | Accepting new patients |
Locations
26072 Merit Cir
Ste 119
Laguna Hills, CA 92653
Phone (949) 859-6600
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.
-
- Physical Therapist
- Laguna Hills, CA
- NPI 1407806771
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
-
- Chiropractor
- Whittier, CA
- NPI 1871675520
-
- Anesthesiology Physician
- Laguna Hills, CA
- NPI 1972634020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1770576357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2844",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926282844",
"telephone_number": "714-965-6611",
"fax_number": "714-965-6690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18207 E MCDURMOTT",
"city": "IRVINE",
"state": "CA",
"postal_code": "926144770",
"telephone_number": "949-553-0010",
"fax_number": "949-553-0098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDALGO",
"first_name": "ROBERT",
"middle_name": "DANIEL",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-29",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G72815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.