Robert Arnold Nelson, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G11812 Issued in CA

Practice address

30150 So Hwy One
Gualala, CA 95445

Phone

(707) 884-3207

NPI assigned

Jan 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104962638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30150 SOUTH HWY ONE",
            "city": "GUALALA",
            "state": "CA",
            "postal_code": "95445",
            "telephone_number": "707-884-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30150 SO HWY ONE",
            "city": "GUALALA",
            "state": "CA",
            "postal_code": "95445",
            "telephone_number": "707-884-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ROBERT",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G11812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica B Maness, LICSW
• Peter W McCann, P.T.
• Mendonoma Health Alliance
• Richard T Miner, D.C.
• Elizabeth J Nagle, FNP
• Northern California Medical Assoc Inc
• James Edwin Platt, D.C.
• Karenanne Leilani Radich, P.T.
• Roberta U. Rams, D.D.S.
• Redwood Coast Medical Services, Inc.

• Ophthalmology Physician in Gualala, CA
• Providers in Gualala, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.