Individual provider Active NPI

Robert Anthony Mueller, MD

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • San Mateo, CA
National Provider Identifier
1104864396
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X
License
G52370 Issued in CA
Practice address
700 Claremont St, Suite 220
Sutter Vna & Hospice
San Mateo, CA 94402-1452
Phone
(206) 744-9102
Fax
(206) 744-9976
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G52372 CA
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X MD-60135840 WA
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X G52370 CA Primary
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X MD60135840 WA

Addresses

Primary practice location

700 Claremont St, Suite 220
Sutter Vna & Hospice
San Mateo, CA 94402-1452

Mailing address

1900 Powell St, Suite 300
Sutter Care at Home
Emeryville, CA 94608-1815
Phone (510) 450-8730

Other identifiers 2

IdentifierTypeStateIssuer
00G523720MedicaidCA
MD60135840OtherWAWA STATE MEDICAL LICENSE NO. DEPT OF HEALTH

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G50228CAMDEmergency Medicine Physician
G52370CAMDHospice and Palliative Medicine (Emergency Medicine) Physician
MD-60135840WAMDHospice and Palliative Medicine (Emergency Medicine) Physician
MD60135840WAMDHospice and Palliative Medicine (Emergency Medicine) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1104864396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 POWELL ST, SUITE 300",
            "address_2": "SUTTER CARE AT HOME",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081815",
            "telephone_number": "510-450-8730",
            "fax_number": "206-744-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CLAREMONT ST, SUITE 220",
            "address_2": "SUTTER VNA & HOSPICE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021452",
            "telephone_number": "206-744-9102",
            "fax_number": "206-744-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G52372",
            "primary": false
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "WA",
            "license": "MD-60135840",
            "primary": false
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G52370",
            "primary": true
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "WA",
            "license": "MD60135840",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G523720",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE MEDICAL LICENSE NO. DEPT OF HEALTH",
            "identifier": "MD60135840",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.