Organization Active NPI

Robert L. Freinkel M.D., Inc

  • Allergy & Immunology Physician
  • Vallejo, CA
National Provider Identifier
1376510321
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
00G253281 Issued in CA
Legal business name
ROBERT L. FREINKEL M.D., INC
Practice address
1460 N Camino Alto
109
Vallejo, CA 94589-2567
Phone
(707) 552-1262
Fax
(707) 552-9599
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Robert Lawrence Freinkel, M.D.
Title
Doctor
Phone
(707) 552-1262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 00G253281 CA Primary

Addresses

Primary practice location

1460 N Camino Alto
109
Vallejo, CA 94589-2567

Mailing address

1460 N Camino Alto
109
Vallejo, CA 94589-2567
Phone (707) 552-1262

Other identifiers 3

IdentifierTypeStateIssuer
00G253281OtherCABLUE CROSS
00G253281OtherCABLUE SHIELD
00G253281MedicaidCA

National Provider Directory

National Provider Directory

Locations

1615 Hill Rd
Ste I
Novato, CA 94947
Phone (415) 892-4707

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1376510321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N CAMINO ALTO",
            "address_2": "109",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892567",
            "telephone_number": "707-552-1262",
            "fax_number": "707-552-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N CAMINO ALTO",
            "address_2": "109",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892567",
            "telephone_number": "707-552-1262",
            "fax_number": "707-552-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. FREINKEL M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "FREINKEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "707-552-1262",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "00G253281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00G253281",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G253281",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G253281",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.