Individual provider Active NPI

Robert Joseph Wallerstein, MD

  • Pediatrics Physician
  • Monrovia, CA
National Provider Identifier
1285696203
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G88350 Issued in CA
Practice address
655 E Huntington Dr
Monrovia, CA 91016
Phone
(626) 471-7455
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X G88350 CA
Pediatrics Physician 208000000X G88350 CA Primary

Addresses

Primary practice location

655 E Huntington Dr
Monrovia, CA 91016

Mailing address

16557 Marchmont Dr
Los Gatos, CA 95032-5606
Phone (408) 335-8449

Other practice location 1

1441 Kapiolani Blvd
Suite 1800
Honolulu, HI 96814-4402
Phone (808) 973-3403

Other identifiers 1

IdentifierTypeStateIssuer
01704714MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110309000631 CA Practitioner - Pediatric Medicine 2860674066 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G88350CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Oct 10, 2015 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
County of Santa Clara Current Accepting new patients
University of California San Francisco CurrentSince Oct 9, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 9, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 9, 2020 Accepting new patients
UCSF Pediatrics Associates Clinical Genetics (M.D.) CurrentSince Oct 9, 2020 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Oct 9, 2020 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Kapiolani Medical Center Past Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1825 4th St
Fl 6
San Francisco, CA 94143
Phone (415) 353-7337

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

Interoperability endpoints

  • Direct secure messaging: rwallerstein133178@direct-ucsfmedicalcenter.org

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1285696203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16557 MARCHMONT DR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950325606",
            "telephone_number": "408-335-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E HUNTINGTON DR",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "91016",
            "telephone_number": "626-471-7455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Kapiolani Blvd",
            "address_2": "Suite 1800",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968144402",
            "country_code": "US",
            "telephone_number": "808-973-3403",
            "fax_number": "808-973-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLERSTEIN",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CA",
            "license": "G88350",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G88350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01704714",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

Verify at the official NPI Registry.