Active NPI
Robert C Searles, MD
- Family Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A79566
- Practice address
- 330 Lewis St
Mail Code 8201-a
San Diego, CA 92103-2108 - Phone
- (619) 471-9260
- Fax
- (619) 471-9600
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A79566 | CA | Primary |
Addresses
Primary practice location
330 Lewis St
Mail Code 8201-a
San Diego, CA 92103-2108
Mailing address
330 Lewis Street
MC 8201-a
San Diego, CA 92103
Phone (619) 471-9260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC70394F | Other | MEDI CAL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79566 | CA | MD | Pharmacist |
| A79566 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro Inc | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro, Inc | Current | Accepting new patients | |
| Regents of the University of California | Family Medicine | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients |
Locations
865 Third Ave
Ste 133
Chula Vista, CA 91911
Phone (619) 498-6200
678 Third Ave
Chula Vista, CA 91910
Phone (619) 205-6349
1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780
File 57326
Los Angeles, CA 90074
1136 D Ave
National City, CA 91950
Phone (619) 336-2300
330 Lewis St
#8201A
San Diego, CA 92103
Phone (619) 471-9250
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
4004 Beyer Blvd
San Ysidro, CA 92173
Phone (619) 428-1330
Interoperability endpoints
- rsearles19103@syhealth.direct-ci.com
Organizations & group practices 8
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.
-
dba San Ysidro Health Precision Park
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1124782685
-
- Pain Medicine (Anesthesiology) Physician
- San Diego, CA
- NPI 1376646869
-
- Family Medicine Physician
- San Diego, CA
- NPI 1578672184
-
dba San Ysidro Health Senior Dental Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1457033813
-
dba San Ysidro Health Urgent Care
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1366053167
-
- Anesthesiology Physician
- San Diego, CA
- NPI 1356444897
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1508968751
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891807764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 LEWIS STREET",
"address_2": "MC 8201-A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92103",
"telephone_number": "619-471-9260",
"fax_number": "619-471-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 LEWIS ST",
"address_2": "MAIL CODE 8201-A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032108",
"telephone_number": "619-471-9260",
"fax_number": "619-471-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARLES",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A79566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI CAL",
"identifier": "FHC70394F",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.