Individual provider Active NPI

Robert C. Hamilton, M.D.

  • Emergency Medicine Physician
  • Fresno, CA
National Provider Identifier
1386693547
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G48570 Issued in CA
Practice address
3707 E Shields Ave
Fresno, CA 93726-7029
Phone
(559) 229-9040
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G48570 CA Primary

Addresses

Primary practice location

3707 E Shields Ave
Fresno, CA 93726-7029

Mailing address

1990 North California Blvd
Suite 400
Walnut Creek, CA 94596
Phone (925) 225-5837

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
I20040112000605 CA Practitioner - Emergency Medicine 5395645527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48570CAMDDentist
G48570CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn Medical Center, LLC CurrentSince May 1, 2015 Accepting new patients
Glenn Medical Center, LLC Current Accepting new patients
Glenn Medical Center, LLC General Practice CurrentSince May 1, 2015 Accepting new patients
Gaylene J. Soloniuk-Tays, M.D., a Professional Corporation Family Medicine Past Accepting new patients
Banner-University Medical Group Emergency Medicine Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
North Sonoma County Health Care District Past Accepting new patients
Lakeport Emergency Medical Corporation Emergency Medicine Past Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients
Memorial Emergency Physicians Medical Group, Inc Past Accepting new patients

Locations

1133 W Sycamore St
Willows, CA 95988
Phone (530) 934-1800

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1386693547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 NORTH CALIFORNIA BLVD",
            "address_2": "SUITE 400",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94596",
            "telephone_number": "925-225-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937267029",
            "telephone_number": "559-229-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "ROBERT",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G48570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.