Robert Walter Andonian, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

C36500 Issued in CA

Practice address

123 Di Salvo Ave
Suite D
San Jose, CA 95128-1717

Phone

(408) 279-0742

Fax

(408) 279-1019

NPI assigned

Jun 26, 2006

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Urological Surgeons of Northern California

  • Urology Physician
  • San Jose, CA
  • NPI 1003118290
  NPD (past)
• Urological Surgeons of Northern California, Inc.

  • Urology Physician
  • San Jose, CA
  • NPI 1528203338
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1215964242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 DI SALVO AVE",
            "address_2": "SUITE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281717",
            "telephone_number": "408-279-0742",
            "fax_number": "408-279-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 DI SALVO AVE",
            "address_2": "SUITE D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281717",
            "telephone_number": "408-279-0742",
            "fax_number": "408-279-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDONIAN",
        "first_name": "ROBERT",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "C36500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyrone James Anderson
• Christine Irene Andes Cook
• Alice Andes
• Clara Nancy Andirious, D.D.S.
• Christopher Ando, PHARMD
• Victoria Bethina Andrada, DDS
• Ismael Andrade Solorio
• Joaquin Andrade Villanueva
• Angelica Andrade-Silverman, M.D.
• Alexandra Andrade

• Urology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.