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Deactivated NPI 1356420996 Deactivated / Inactive NPI Male Practitioner

Dr. Robert William Tom , MD

General Practice • Mission Viejo, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Tom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 03, 2006
NPI Deactivation Date March 09, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Tom, MD was a registered General Practice practicing in Mission Viejo, CA. Throughout an active medical career spanning 12 years, Dr. Tom provided care at the practice location at 23312 MADERO until profile deactivation on 2018-03-09.

Practice Location & Contact Primary Location

Practice Address

23312 Madero
Suite C

Mission Viejo, CA 926912738

Telephone 9497075690
Fax 9497075694

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Mission Viejo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Mission Viejo, CA (2300 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA C32045

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 09, 2018

Record deactivated on March 09, 2018

NPI Profile Active June 11, 2012

NPI status registered as active in NPPES database

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Updated Practice Location June 11, 2012

Registered at 23312 MADERO, SUITE C, MISSION VIEJO, CA 926912738 (Tel: 9497075690)

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Updated Business Mailing Address June 11, 2012

Registered at 23312 MADERO ROAD, SUITE C, MISSION VIEJO, CA 926912732 (Tel: 9497075690)

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Provider Name / Credentials Updated June 11, 2012

Recorded as ROBERT TOM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2012

General Practice (License #C32045 in CA)

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Initial NPI Registration & Enumeration November 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356420996
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2006
Last Update: June 11, 2012
Deactivation Date: March 09, 2018

Mailing Address

23312 Madero Road, Suite C

Mission Viejo, CA 926912732

Phone: 9497075690

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.