Active NPI
Robert Justin Knebel
- Student in an Organized Health Care Education/Training Program
- Sacramento, CA
National Provider Identifier
1407145675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4150 V St # 1110
Sacramento, CA 95817-1460 - Phone
- (916) 734-7080
- Fax
- (916) 734-1150
- NPI assigned
- Mar 28, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
4150 V St # 1110
Sacramento, CA 95817-1460
Mailing address
4150 V St # 1110
Sacramento, CA 95817-1460
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1407145675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 V ST # 1110",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 V ST # 1110",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171460",
"telephone_number": "916-734-7080",
"fax_number": "916-734-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNEBEL",
"first_name": "ROBERT",
"middle_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-28",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.