ROBERT J. GIOMBETTI M.D.
NPI 1447833405
Psychiatry & Neurology - Brain Injury Medicine in Marina Del Rey, CA

Q: What is Southern California Neuro Medical Services Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Brain Injury Medicine, with taxonomy code 2084P0301X.

Active since April 28, 2021

4560 ADMIRALTY WAY STE 352, MARINA DEL REY, CA 90292(310) 306-8876(310) 822-3313 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2021, Aug 27, 2021, May 18, 2021 and 1 more (4 updates tracked since 2021).

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About Robert J. Giombetti M.d. NPPES

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

ROBERT J. GIOMBETTI M.D. (NPI 1447833405) is a healthcare organization registered as a brain injury medicine in Marina Del Rey, California and active in the NPI registry since April 2021. The organization maintains 3 additional practice locations and lists Robert J Giombetti, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447833405

Entity TypeOrganization

Primary Taxonomy2084P0301X

Legal Business NameSOUTHERN CALIFORNIA NEURO MEDICAL SERVICES INC

Location Address4560 ADMIRALTY WAY STE 352Marina Del Rey, CA 90292-5448

Mailing Address4560 Admiralty Way Ste 352Marina Del Rey, CA 90292-5448 · (310) 306-8876 · Fax (310) 822-3313

Phone(310) 306-8876

Fax(310) 822-3313

Organization SubpartNo

Authorized OfficialRobert J GiombettiCeo · (310) 306-8876

Enumeration DateApril 28, 2021

Last NPPES UpdateSeptember 14, 20214 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2021

✔ NPI 1447833405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Brain Injury MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084P0301X

Definition

A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.

4560 ADMIRALTY WAY STE 352, Marina Del Rey, CA 90292

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Other Names 1

Other NameRobert J. Giombetti M.d.

Secondary Practice Locations 3

Location 15525 W Slauson AveLos Angeles, CA 90056-1047 · Phone (310) 642-0325

Location 24650 Lincoln BlvdMarina Del Rey, CA 90292-6306 · Phone (310) 823-8911

Location 31145 W Redondo Beach BlvdGardena, CA 90247-3511 · Phone (310) 532-4200

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert J. Giombetti M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Robert J. Giombetti M.D., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Robert Giombetti, M.D.

Neurology

NPI 1659445211

4560 ADMIRALTY WAY SUITE 352
Marina Del Rey, CA 90292

(310) 306-8876

✔ PECOS✔ Accepts MedicareSame address

Eric Lee, DC, NP

Chiropractic

NPI 1245337872

6506 ARIZONA AVE
Westchester, CA 90045

(424) 339-7577

✔ PECOS✔ Accepts Medicare2.6 mi

Silica Bungabong

Nurse Practitioner

NPI 1104293067

4619 ROSEWOOD AVE APT 106
Los Angeles, CA 90004

(323) 557-6317

✔ PECOS✔ Accepts Medicare10 mi

Elizabeth Hernandez-Ball, NP

Nurse Practitioner

NPI 1760172696

5001 PACIFIC COAST HWY
Torrance, CA 90505

(310) 318-4127

✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southern California Neuro Medical Services Inc's NPI number?

The NPI number for Southern California Neuro Medical Services Inc is 1447833405. It was assigned to this organization in the NPPES registry on April 28, 2021. The provider is also known as Robert J. Giombetti M.D..

Where is Southern California Neuro Medical Services Inc located?

Southern California Neuro Medical Services Inc is located at 4560 Admiralty Way Ste 352, Marina Del Rey, CA 90292. The listed phone number is (310) 306-8876.

What is Southern California Neuro Medical Services Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Brain Injury Medicine, with taxonomy code 2084P0301X.

Is Southern California Neuro Medical Services Inc enrolled in Medicare?

Yes. Southern California Neuro Medical Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern California Neuro Medical Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Southern California Neuro Medical Services Inc, in Chiropractic, Neurology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern California Neuro Medical Services Inc was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.