Individual provider Active NPI

Robert Hogan

  • Registered Nurse
  • Oroville, CA
National Provider Identifier
1407036940
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
535571 Issued in CA
Practice address
82 Table Mountain Blvd
Suite 20
Oroville, CA 95965-3578
Phone
(530) 538-7007
Fax
(530) 538-7994
NPI assigned
Nov 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 535571 CA Primary
Community Health Registered Nurse 163WC1500X 535571 CA

Addresses

Primary practice location

82 Table Mountain Blvd
Suite 20
Oroville, CA 95965-3578

Mailing address

82 Table Mountain Blvd
Suite 20
Oroville, CA 95965-3578
Phone (530) 538-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
535571CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1407036940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 TABLE MOUNTAIN BLVD",
            "address_2": "SUITE 20",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959653578",
            "telephone_number": "530-538-7007",
            "fax_number": "530-538-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 TABLE MOUNTAIN BLVD",
            "address_2": "SUITE 20",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959653578",
            "telephone_number": "530-538-7007",
            "fax_number": "530-538-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "535571",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "535571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.