Physician Compare National (NPI:1972631356)

HEALTHCARE PROVIDER: NAREG HAIG ROUBINIAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1972631356
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5193815884
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071218000571
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROUBINIAN
	Individual professional last name
Provider First Name	NAREG
	Individual professional first name
Provider Middle Name	HAIG
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	INTERNAL MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	PERMANENTE MEDICAL GROUP INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8921910225
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	5849
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	901 NEVIN AVE
	Group Practice or individual's line 1 address
City	RICHMOND
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	948013143
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5103071500
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050075
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y