Active NPI
Robert E. Maurer, M.D.
- Specialist
- Redding, CA
National Provider Identifier
1215922190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G35391
- Practice address
- 2121 Airpark Dr
Redding, CA 96001-2433 - Phone
- (530) 244-6001
- Fax
- (530) 244-6005
- NPI assigned
- Sep 15, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | G35391 | CA | Primary |
Addresses
Primary practice location
2121 Airpark Dr
Redding, CA 96001-2433
Mailing address
2121 Airpark Dr
Redding, CA 96001-2433
Phone (530) 244-6001
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G353910 | Medicaid | CA | |
| 340000085 | Other | CA | RAILROAD MEDICARE |
| 340000085 | Other | CA | MEDICARE RR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| G35391 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272412800000",
"number": "1215922190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 AIRPARK DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960012433",
"telephone_number": "530-244-6001",
"fax_number": "530-244-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 AIRPARK DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960012433",
"telephone_number": "530-244-6001",
"fax_number": "530-244-6005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURER",
"first_name": "ROBERT",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2010-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G35391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G353910",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340000085",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "340000085",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.