ROBERT M LAVIGNE P.A.
NPI 1093003485
Physician Assistant - Medical in San Diego, CA

Active since July 19, 2011PECOS EnrolledAccepts Medicare Assignment
1350 COLUMBIA ST UNIT 800, SAN DIEGO, CA 92101(619) 251-1652(619) 324-7761 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert M Lavigne P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT M LAVIGNE P.A. (NPI 1093003485) is an individual medical provider in San Diego, California, licensed in California (PA21564) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brea, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1093003485
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameROBERT M LAVIGNECredential: P.A.
Location Address1350 COLUMBIA ST UNIT 800San Diego, CA 92101-3456
Mailing Address1350 Columbia St Unit 800San Diego, CA 92101-3456 · (619) 251-1652 · Fax (619) 324-7761
Fax(619) 324-7761
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 19, 2011
Last NPPES UpdateMay 14, 2020
NPPES CertifiedMay 14, 2020
NPI 1093003485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA21564
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA21564 (CA)
1350 COLUMBIA ST UNIT 800, San Diego, CA 92101

Secondary Practice Location 1

Location 12650 E Imperial Hwy Ste 202Brea, CA 92821-6168 · Phone (858) 248-5483 · Fax (858) 253-7389

Other Identifiers 1

OtherPA21564CA · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Robert M Lavigne P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234309360
PECOS Enrollment IDI20110829000632
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
45 services11 patients

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
1350 COLUMBIA ST UNIT 800
SAN DIEGO, CA 92101
Nurse Practitioner (Psychiatric/Mental Health)
1350 COLUMBIA ST UNIT 800
SAN DIEGO, CA 92101
Psychologist (Clinical)
1350 COLUMBIA ST UNIT 800
SAN DIEGO, CA 92101
Psychiatry & Neurology (Psychiatry)
1350 COLUMBIA ST UNIT 800
SAN DIEGO, CA 92101
Clinic/Center (Mental Health (Including Community Mental Health Center))
1350 COLUMBIA ST UNIT 800
SAN DIEGO, CA 92101
Psychologist (Clinical)
1350 COLUMBIA ST UNIT 800
SAN DIEGO, CA 92101
Psychiatry & Neurology (Psychiatry)
1350 COLUMBIA ST UNIT 800
SAN DIEGO, CA 92101
Physician Assistant
1350 COLUMBIA ST UNIT 800
SAN DIEGO, CA 92101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Lavigne's NPI number?

The NPI number for Robert Lavigne is 1093003485. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Where is Robert Lavigne located?

Robert Lavigne practices at 1350 Columbia St Unit 800, San Diego, CA 92101. The listed phone number is (619) 251-1652.

What is Robert Lavigne's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Robert Lavigne enrolled in Medicare?

Yes. Robert Lavigne is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Robert Lavigne was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.