ROBERT A HARDESTY (NPI# 1437170933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437170933 |
| Entity Type | Individual |
| Full Name | ROBERT A HARDESTY |
| Credential | M.D., F.A.C.S. |
| Practice Address |
4646 Brockton Ave Suite 302 Riverside CA 92506-0102 |
| Mailing Address |
Po Box 10609 San Bernardino CA 92423-0609 |
| Practice Telephone | 9516867600 |
| Practice Fax Number | 9513699999 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | GO4871 | CA | Other Service Providers |
| Y | 208200000X | Plastic Surgery | G40871 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4500 Brockton Ave Ste 105, Riverside, CA 925014006 | 9517844088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881929545 | Robert Lynch Hardesty | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9017 Ranch River Cir, Highlands Ranch, CO 80126-5079 | 2009-10-13 |
| 1295017416 | Robert Jeremey Hardesty | Social Worker | 260 Gateway Dr, Suite 2b, Bel Air, MD 21014-4268 | 2011-09-14 |
| Street Address |
4646 BROCKTON AVE SUITE 302 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-0102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730187881 | Gary Mitchell Feinberg | Otolaryngology | 4646 Brockton Ave, Suite 201, Riverside, CA 92506 | 2005-07-12 |
| 1871108381 | Physician Management Services of California, LLC | Family Medicine | 4646 Brockton Ave, Riverside, CA 92506-0102 | 2020-09-11 |
| 1902361389 | Glenda Lee Conley | Pharmacist | 4646 Brockton Ave, Riverside, CA 92506-0102 | 2019-02-09 |
| 1255867834 | Linnea Hondorp | Registered Nurse | 4646 Brockton Ave, Riverside, CA 92506-0102 | 2017-05-02 |
| 1497299549 | Maria Soledad Ascencio | Nurse Practitioner | 4646 Brockton Ave, # 301, Riverside, CA 92506-0102 | 2016-12-08 |
| 1538610548 | Raincross Medical Group | Nurse Practitioner | 4646 Brockton Ave, Riverside, CA 92506-0102 | 2016-10-14 |
| 1306201157 | Sheila Marie Stephens | Physician Assistant | 4646 Brockton Ave, Riverside, CA 92506-0102 | 2015-12-21 |
| 1447659370 | Mary Elizabeth Barba | Nurse Practitioner | 4646 Brockton Ave, Riverside, CA 92506-0102 | 2014-08-15 |
| 1194145771 | Gary M. Feinberg Ent, Inc. | Otolaryngology | 4646 Brockton Ave, Suite 201, Riverside, CA 92506 | 2014-04-22 |
| 1477806727 | Ashley Kristen Goodacre | Physician Assistant | 4646 Brockton Ave, Suite 302, Riverside, CA 92506-0102 | 2012-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174738637 | Maya C Spaeth | Plastic Surgery | 4444 Magnolia Ave Ste A, Riverside, CA 92501 | 2007-05-10 |
| 1275622052 | Amardip S. Bhuller | Plastic Surgery | 4234 Riverwalk Pkwy Ste 170, Riverside, CA 92505-3390 | 2006-10-12 |
| 1043781040 | Cachr Inc. | Plastic Surgery | 4444 Magnolia Ave Ste A, Riverside, CA 92501-4136 | 2018-12-17 |
| 1124361803 | Ji Hye Son | Plastic Surgery | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2013-04-01 |
| 1447518733 | Samuel Enrique Salcedo | Plastic Surgery | 4234 Riverwalk Pkwy Ste 170, Riverside, CA 92505-3390 | 2012-04-25 |
| 1427361930 | Grace Yu | Plastic Surgery | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2010-07-26 |
| 1538497813 | Pacifica Health & Wellness Clinic, Inc. | Plastic Surgery | 5524 Mission Blvd, Riverside, CA 92509-4515 | 2009-11-25 |
| 1265410013 | Grace S Elias | Plastic Surgery | 7117 Brockton Ave, Riverside, CA 92506-2615 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696048 | Victor Liu Md, A Medical Corporation | Plastic Surgery | 1720 El Camino Real Ste 200, Burlingame, CA 94010-3226 | 2020-10-09 |
| 1629683255 | Veritas Aesthetics PC | Plastic Surgery | 23838 Valencia Blvd Ste 260, Valencia, CA 91355-5630 | 2020-09-10 |
| 1700405586 | Keyian Paydar, Md, PC | Plastic Surgery | 3991 Macarthur Blvd Ste 320, Newport Beach, CA 92660-3004 | 2020-04-13 |
| 1548892045 | Adventist Health Physicians Network | Plastic Surgery | 301 Science Dr Ste 180, Moorpark, CA 93021-0800 | 2020-02-12 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1790341832 | Frederic Jerome Kolb | Plastic Surgery | 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 | 2019-05-14 |
| 1588125835 | Beauty Eternal, Inc | Plastic Surgery | 1260 East Ave Ste 130, Chico, CA 95926-1021 | 2019-03-28 |
| 1689131229 | Schoemann Reconstructive Surgery | Plastic Surgery | 477 N El Camino Real Ste D101, Encinitas, CA 92024-1370 | 2019-03-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.