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MR. ROBERT M MEDINA P.A.
NPI 1235185190
Physician Assistant in Fort Irwin, CA

Active since May 25, 2006PECOS Enrolled
390 NORTH LOOP ROAD, FORT IRWIN, CA 92310(760) 383-5289(760) 383-5128 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Robert M Medina P.a. NPPES

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

MR. ROBERT M MEDINA P.A. (NPI 1235185190) is an individual physician assistant in Fort Irwin, California, licensed in California (PA10207) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235185190
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ROBERT M MEDINACredential: P.A.
Location Address390 NORTH LOOP ROADFort Irwin, CA 92310-5109
Mailing Address390 North Loop RoadFort Irwin, CA 92310-5109 · (760) 383-5289 · Fax (760) 383-5128
Phone(760) 383-5289
Fax(760) 383-5128
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateJanuary 26, 2024
NPPES CertifiedJanuary 25, 2024
✔ NPI 1235185190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA10207
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
390 NORTH LOOP ROAD, Fort Irwin, CA 92310
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Robert M Medina P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

KAI CHRISTIAN COMBS MD
Family Medicine
390 NORTH LOOP ROAD
FORT IRWIN, CA 92310
San Bernardino County (760) 383-5289
DR. BRYAN FLETCHER DO
General Practice
390 NORTH LOOP ROAD
FORT IRWIN, CA 92310
San Bernardino County (760) 380-9637
DR. LAURA CONNOLLY DO
Student in an Organized Health Care Education/Training Program
390 NORTH LOOP ROAD
FORT IRWIN, CA 92310
San Bernardino County (760) 383-5289
DR. JOHN JOSEPH CORLETTO MD
Family Medicine (Sports Medicine)
390 NORTH LOOP ROAD
FORT IRWIN, CA 92310
San Bernardino County (760) 383-5950
MONIQUE A SMITH LCSW
Social Worker (Clinical)
390 NORTH LOOP ROAD
FORT IRWIN, CA 92310
San Bernardino County (760) 380-1111
COREY WADE JONES
Nurse Anesthetist, Certified Registered
390 NORTH LOOP ROAD
FORT IRWIN, CA 92310
San Bernardino County (256) 337-3147
JOHNMARK FARLETT MD
Radiology (Diagnostic Radiology)
390 NORTH LOOP ROAD
FORT IRWIN, CA 92310
San Bernardino County (866) 957-9224
MS. VANESHIA LADAMA SLEDGE LCSW
Social Worker (Clinical)
390 NORTH LOOP ROAD
FORT IRWIN, CA 92310
San Bernardino County (760) 383-5289

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 Medina's NPI number?

The NPI number for Robert Medina is 1235185190. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Robert Medina located?

Robert Medina practices at 390 North Loop Road, Fort Irwin, CA 92310. The listed phone number is (760) 383-5289.

What is Robert Medina's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Robert Medina enrolled in Medicare?

Yes. Robert Medina is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Medina was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.