Active NPI
Robert Hogan
- Registered Nurse
- Oroville, CA
National Provider Identifier
1407036940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 535571
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 535571 | CA | MD | Registered 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.