Roberta L Nieto M.D. , P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROBERTA L NIETO M.D. , P.C.

Practice address

2811 E Katella Ave Ste 203
Orange, CA 92867-5247

Phone

(714) 942-2643

NPI assigned

Jul 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Roberta Nieto, M.D.

Title

C.E.O

Phone

(714) 942-2643

Specialties & licenses 1

Addresses

Other names 1

• Bountiful Health Doing business as

Locations

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1912579558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 E KATELLA AVE STE 203",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675247",
            "telephone_number": "714-942-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 E KATELLA AVE STE 203",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675247",
            "telephone_number": "714-942-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA L NIETO M.D. , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "NIETO",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "714-942-2643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bountiful Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert C. Armen, M.D., Inc.
• Robert J Budin
• Robert J. Dunn, M.D., Inc.
• Robert J. Macarthur, M.D., Inc.
• Rachel Robert, PSYD
• Jayla Roberts
• Kristen F. Roberts, LMFT
• William Mark Roberts, MD
• Kenneth Wallace Robertson-Brown, MD, MPH
• Breyonna Maree Robertson

• Family Medicine Physician in Orange, CA
• Providers in Orange, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.