Provider Demographics
NPI:1962525428
Name:ROBBINS, ROBERT S (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 N. EL CIELO RD
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262
Mailing Address - Country:US
Mailing Address - Phone:760-232-8657
Mailing Address - Fax:760-318-9083
Practice Address - Street 1:275 N. EL CIELO
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262
Practice Address - Country:US
Practice Address - Phone:760-202-4334
Practice Address - Fax:760-318-9083
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42621207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1881654994OtherNPI CATHEDRAL CITY FAMILY
CAGR0062120Medicaid
CA1730149949OtherNPI HI DESERT FAMILY MEDI
CARHM53845FMedicaid
CAMMM00336MMedicare PIN
CARHM53845FMedicaid
CAGR0062120Medicaid