Robert W. Oblath, M.D., Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G39082 Issued in CA

Legal business name

ROBERT W. OBLATH, M.D., INC.

Practice address

18370 Burbank Blvd
#607
Tarzana, CA 91356-2804

Phone

(818) 774-1771

Fax

(818) 704-4977

NPI assigned

Aug 9, 2007

Organization subpart

No

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

Authorized official

Name

Jamie Jacobson

Title

Billing Manager

Phone

(818) 774-1771

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1336330745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 572913",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913572913",
            "telephone_number": "818-774-1771",
            "fax_number": "818-704-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD",
            "address_2": "#607",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562804",
            "telephone_number": "818-774-1771",
            "fax_number": "818-704-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. OBLATH, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "818-774-1771"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G39082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE8050",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G390820",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "WG39082E",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RN Hospice Inc
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• Robert a. Weissman, M.D. a Medical Corporation
• Robert Bootehsaz DMD Inc
• Robert M Brodsky DPM Inc
• Stephen M Robert, MD
• Shermaine Robertson, BEHAVIORAL THERAPIST
• Clifford Robinson Jr., L.M.F.T
• Taneiya Denise Robinson, LVN
• Katrin Rochon

• Medical Specialty Clinic/Center in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.