Owen L. Robinson MD, a Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G47920 Issued in CA

Legal business name

OWEN L. ROBINSON MD, A MEDICAL CORPORATION

Practice address

1141 W Redondo Beach Blvd
Ste 400
Gardena, CA 90247-3586

Phone

(310) 538-1381

Fax

(310) 538-4900

NPI assigned

Aug 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Owen Robinson, M.D.NPI 1447246806

Title

President

Phone

(310) 538-1381

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Owen Lee Robinson, M.D.

  • Internal Medicine Physician
  • Gardena, CA
  • NPI 1447246806
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1912212739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD",
            "address_2": "STE 400",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473586",
            "telephone_number": "310-538-1381",
            "fax_number": "310-538-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD",
            "address_2": "STE 400",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473586",
            "telephone_number": "310-538-1381",
            "fax_number": "310-538-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWEN L. ROBINSON MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "OWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-538-1381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G47920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G479200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Ugochi Otegbulu, NP
• Alina Otero
• Citlali Otero
• Rebecca Otero
• Cremisha La Quiche Overton
• Helen Owolabi
• Victoria Boahemaa Owusu
• Pace Healthcare Distributors Inc
• Selene Rubi Pacheco-Sierra
• Erika Pacheco

• Internal Medicine Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.