Robert M Pettis (NPI# 1427082346, PAC ID# 8921029414) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1427082346 |
| PAC ID by PECOS | 8921029414 |
| Professional Enrollment ID | I20051212000897 |
| Full Name | Robert M Pettis |
| Organization Legal Name | ORANGE COAST HEAD AND NECK SURGERY |
| Address |
16100 Sand Canyon Ave Suite 310 Irvine CA 92618-3718 |
| Phone Number | 9497150500 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 5597087601 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050224 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| Address | Phone | Organization |
|---|---|---|
| 16100 Sand Canyon Ave, Suite 310, Irvine, CA 92618-3718 | 9497150500 | ORANGE COAST HEAD AND NECK SURGERY |
| Organization Legal Name | ORANGE COAST HEAD AND NECK SURGERY |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Ann Pitale | Qualified Audiologist | Orange Coast Head and Neck Surgery | 16100 Sand Canyon Ave, Suite 310, Irvine, CA 92618-3718 |
| Ashley S Vitarelli | Physical Therapy | Orange Coast Head and Neck Surgery | 16100 Sand Canyon Ave, Suite 310, Irvine, CA 92618-3718 |
| Street Address |
16100 SAND CANYON AVE SUITE 310 |
| City | IRVINE |
| State | CA |
| Zip | 92618-3718 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hooshang Meshkinpour | Internal Medicine | 16100 Sand Canyon Ave, Suite 260, Irvine, CA 92618-3725 | |
| Alan Elias | Endocrinology | 16100 Sand Canyon Ave, Suite 240, Irvine, CA 92618-3724 | |
| Mary Ann Pitale | Qualified Audiologist | Orange Coast Head and Neck Surgery | 16100 Sand Canyon Ave, Suite 310, Irvine, CA 92618-3718 |
| E. Edmund Kim | Diagnostic Radiology | Cancer Center Imaging Inc. | 16100 Sand Canyon Ave, Suite 100, Irvine, CA 92618-3716 |
| Garabed P Nishanian | Vascular Surgery | 16100 Sand Canyon Ave, Suite 350, Irvine, CA 92618-3717 | |
| Harry M Moyses | Radiation Oncology | Kenneth M Tokita Md Inc | 16100 Sand Canyon Ave, Suite 130, Irvine, CA 92618-3722 |
| Ashley S Vitarelli | Physical Therapy | Orange Coast Head and Neck Surgery | 16100 Sand Canyon Ave, Suite 310, Irvine, CA 92618-3718 |
| Kenneth M Tokita | Diagnostic Radiology | Kenneth M Tokita Md Inc | 16100 Sand Canyon Ave, Suite 130, Irvine, CA 92618-3722 |
| Nadeem N Vaidya | Ophthalmology | 16100 Sand Canyon Ave, Suite 385, Irvine, CA 92618-3720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Y Chen | Diagnostic Radiology | Summit Radiology PC | 41 Modena, Irvine, CA 92618-0104 |
| Jim Yung Chun Chung | Chiropractic | 14785 Jeffrey Rd, Suite 102, Irvine, CA 92618-0409 | |
| Tzong-shin S Yang | Physical Therapy | Unicare Physical Therapy, Inc.. | 14785 Jeffrey Rd, Suite 108, Irvine, CA 92618-0410 |
| Jenn Tih Yang | Physical Therapy | Unicare Physical Therapy, Inc.. | 14785 Jeffrey Rd, Suite 108, Irvine, CA 92618-0410 |
| Roger Lee | Chiropractic | 14795 Jeffrey Rd, Suite 103, Irvine, CA 92618-0417 | |
| Nuha Krad | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 172 Gitano, Irvine, CA 92618-1115 |
| Kenneth A Cantos | Pathology | Newport Harbor Pathology Medical Group Inc | 20 Fairbanks, Suite 184, Irvine, CA 92618-1673 |
| Parkson J Lin | Podiatry | 2 Hughes, Suite 150, Irvine, CA 92618-2036 | |
| Brent Silvers | Internal Medicine | 2 Hughes, Suite 150, Irvine, CA 92618-2036 | |
| Martha E Wittenberg | Family Practice | Institute for Progressive Medicine A Professional Medical Corporation | 4 Hughes, Suite 175, Irvine, CA 92618-2045 |
| Find all physicians in zip 92618 | |||
| City | IRVINE |
| Zip Code | 92618 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | IRVINE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Robert M Pettis.
| 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.