Robert Habbestad, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

A35077 Issued in CA

Practice address

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

Phone

(909) 621-7321

Fax

(909) 621-1491

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Otolaryngology

Education

Howard University College of Medicine, 1978

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
• San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• R H Ear Nose & Throat Medical Group Inc

  • Otolaryngology Physician
  • Montclair, CA
  • NPI 1831434497
  Medicare reassignment NPD Authorized official
• Chino Medical Group, Inc

  • Health Maintenance Organization
  • Chino, CA
  • NPI 1790730786
  NPD (past)
• Inland Pulmonary Medical Group

  • Pulmonary Disease Physician
  • Montclair, CA
  • NPI 1073632261
  NPD (past)
• Prime Healthcare Services - Montclair, LLC

  • General Acute Care Hospital
  • Montclair, CA
  • NPI 1992721161
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1407813660
  Care Compare affiliation
• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189
  Care Compare affiliation

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1841332053",
    "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": {
        "last_name": "HABBESTAD",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A35077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abel Gutierrez
• Julie Gutierrez
• Patricia Eileen Gutierrez
• Anasofia Garay Guzman
• Joanne Ha
• Myiesha Hakeem
• Heavenly Haley Haley
• Emily Hampton
• Hannah Nicole Hampton
• Samantha Hampton, BA

• 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; 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.