Active NPI
Robert Anthony Matli, RPH
- Geriatric Pharmacist
- South San Francisco, CA
National Provider Identifier
1063796928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- RPH35497
- Practice address
- 2238 Westborotgh Blvd
South San Francisco, CA 94080 - Phone
- (650) 873-0551
- NPI assigned
- Oct 10, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | RPH35497 | CA | Primary |
Addresses
Primary practice location
2238 Westborotgh Blvd
South San Francisco, CA 94080
Mailing address
2463 Funston Ave
San Francisco, CA 94116-1950
Phone (415) 566-9995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH35497 | Other | CA | CALIFORNIA PHARMACY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH35497 | CA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1063796928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2463 FUNSTON AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941161950",
"telephone_number": "415-566-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2238 WESTBOROTGH BLVD",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "94080",
"telephone_number": "650-873-0551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATLI",
"first_name": "ROBERT",
"middle_name": "ANTHONY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-10",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "CA",
"license": "RPH35497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA PHARMACY LICENSE",
"identifier": "RPH35497",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.