R H Ear Nose & Throat Medical Group Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

A35077 Issued in CA

Legal business name

R H EAR NOSE & THROAT MEDICAL GROUP INC

Practice address

9655 Monte Vista Ave Ste 403
Montclair, CA 91763-2238

Phone

(909) 621-7321

Fax

(909) 621-1491

NPI assigned

Dec 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert Habbestad, M DNPI 1841332053

Title

Owner/President

Phone

(909) 621-7321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Robert Habbestad, MD

  • Otolaryngology Physician
  • Montclair, CA
  • NPI 1841332053
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1831434497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 MONTE VISTA AVE STE 403",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632238",
            "telephone_number": "909-621-7321",
            "fax_number": "909-621-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 MONTE VISTA AVE STE 403",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632238",
            "telephone_number": "909-621-7321",
            "fax_number": "909-621-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R H EAR NOSE & THROAT MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "HABBESTAD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "909-621-7321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A35077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esteban Antonio Quintero
• Lizbeth Quintero
• Jessica Quirarte
• Edward Wiley Quisenberry III, CMT
• Quratulanne Muneer D.M.D., Inc
• Nichola Rader, SPLA
• Nathan J Ragusa
• Swarnalatha Ramamurthy
• Tania M Ramirez de Loera
• Angelica Ramirez

• Otolaryngology Physician in Montclair, CA
• Providers in Montclair, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.