Basic Information
Provider Information
NPI: 1619072964
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HINDS
FirstName: ROBERT
MiddleName: L
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 7446
Address2:  
City: LOVELAND
State: CO
PostalCode: 805370446
CountryCode: US
TelephoneNumber: 9706632742
FaxNumber: 9706670847
Practice Location
Address1: 1400 E CHURCH ST
Address2:  
City: SANTA MARIA
State: CA
PostalCode: 934545906
CountryCode: US
TelephoneNumber: 8057393000
FaxNumber: 9706670847
Other Information
ProviderEnumerationDate: 09/13/2006
LastUpdateDate: 07/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X20A6768CAN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RC0200X20A6768CAY193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

ID Information
IDTypeStateIssuerDescription
00AX6768005CA MEDICAID


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