Robert A Devereaux (NPI# 1043264781, PAC ID# 1153482484) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043264781 |
| PAC ID by PECOS | 1153482484 |
| Professional Enrollment ID | I20081205000174 |
| Full Name | Robert A Devereaux |
| Address |
11100 Warner Ave Suite 100 Fountain Valley CA 92708-7500 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050570 | FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER |
| 050678 | ORANGE COAST MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11100 Warner Ave, Suite 100, Fountain Valley, CA 92708-7500 |
| Street Address |
11100 WARNER AVE SUITE 100 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip | 92708-7500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hung-chuan Cheng | Family Medicine | 11100 Warner Ave, Suite 118, Fountain Valley, CA 92708-7500 | |
| Elizabeth T Nghiem | Infectious Disease | 11100 Warner Ave, Suite 158, Fountain Valley, CA 92708-4005 | |
| Joseph N Gregurich | Family Medicine | 11100 Warner Ave, Suite 112, Fountain Valley, CA 92708-7500 | |
| Andrew A Ceavatta | Dermatology | 11100 Warner Ave, Suite 264, Fountain Valley, CA 92708-7512 | |
| Tim T Lai | Neurology | 11100 Warner Ave, Suite 152, Fountain Valley, CA 92708-7510 | |
| Farid Shakibai | Cardiovascular Disease (cardiology) | 11100 Warner Ave, Suite 110, Fountain Valley, CA 92708-7500 | |
| James J Park | Neurology | 11100 Warner Ave, Suite 256, Fountain Valley, CA 92708-7502 | |
| Kathryn R Rigonan | Internal Medicine | 11100 Warner Ave, Suite 154, Fountain Valley, CA 92708-7510 | |
| Minsen Mok | Internal Medicine | 11100 Warner Ave, Suite 362, Fountain Valley, CA 92708-7513 | |
| Anna C Liu | Family Medicine | 11100 Warner Ave, Suite 358, Fountain Valley, CA 92708-7513 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ranjan Sapra | Hematology/oncology | 11190 Warner Ave, Suite 405, Fountain Valley, CA 92708-0000 | |
| Kinh Tu Tran | Family Medicine | 15975 Harbor Blvd, Fountain Valley, CA 92708-1303 | |
| Hiep Truong | Obstetrics/gynecology | 15975 Harbor Blvd, Fountain Valley, CA 92708-1303 | |
| Anh Linh T Nguyen | Optometry | 16125 Harbor Blvd, Fountain Valley, CA 92708-1305 | |
| Hoang T Nguyen | Internal Medicine | 16040 Harbor Blvd G, Fountain Valley, CA 92708-1327 | |
| Tuan Manh Hoang | Oral Surgery | 16045 Brookhurst St, Fountain Valley, CA 92708-1544 | |
| Raif W Iskander | Physician Assistant | Xtra Care Medical Group | 16171 Brookhurst St, Fountain Valley, CA 92708-1550 |
| Phong Huy Bui | Internal Medicine | 16055 Brookhurst St, Suite C, Fountain Valley, CA 92708-1566 | |
| Gordon K Ota | Optometry | Nhat Le-huynh Od A Professional Corporation | 10130 Warner Ave, Suite J, Fountain Valley, CA 92708-1619 |
| Kim Nhat Nguyen Le Huynh | Optometry | Nhat Le-huynh Od A Professional Corporation | 10130 Warner Ave, Suite J, Fountain Valley, CA 92708-1619 |
| Find all physicians in zip 92708 | |||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FOUNTAIN VALLEY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert A Devereaux.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.