Robert a Innocenzi D O Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ROBERT A INNOCENZI D O INC

Practice address

13197 Central Ave
Suite 101
Chino, CA 91710-4178

Phone

(909) 590-2073

Fax

(909) 590-2457

NPI assigned

Jan 7, 2008

Last updated

May 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert A Innocenzi, MDNPI 1437172210

Title

President

Phone

(909) 590-2073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert A Innocenzi, D.O.

  • Ophthalmology Physician
  • Chino, CA
  • NPI 1437172210
  Medicare reassignment Authorized official
• Jannette Hang, O.D.

  • Optometrist
  • Chino, CA
  • NPI 1932577426
  NPD
• Kumaravelu Balasubramaniam, MD

  • Gastroenterology Physician
  • Rialto, CA
  • NPI 1134184708
  NPD (past)
• PO-Yi Lee, O.D.

  • Optometrist
  • Yorba Linda, CA
  • NPI 1639537897
  NPD (past)
• Nasiem Adnan Umberg, OD

  • Optometrist
  • Ontario, CA
  • NPI 1578124715
  NPD (past)

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1942485115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13197 CENTRAL AVE STE 101",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104178",
            "telephone_number": "909-590-2073",
            "fax_number": "909-590-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13197 CENTRAL AVE",
            "address_2": "SUITE 101",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104178",
            "telephone_number": "909-590-2073",
            "fax_number": "909-590-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A INNOCENZI D O INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "INNOCENZI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-590-2073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riteaid
• Maria Mishell Rivas Franco
• Mary Christine Rivas
• Ethan Rivera
• Haider Z Rizvi, MD
• Donald Brian Roberts, M.S.,ATC
• Jasmine Roberts, LCSW
• Ples John Robertson Jr., D.C.
• Victor Robles, RCP
• Indiana Robleto, DDS

• Ophthalmology Physician in Chino, CA
• Providers in Chino, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.