Robert A Fox, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G25858 Issued in CA

Practice address

2101 Vale Rd
Suite 101
San Pablo, CA 94806-3835

Phone

(510) 233-0056

Fax

(510) 233-0538

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Thomas J. Mampalam, M.D. a Professional Corporation

  • Specialist
  • Pinole, CA
  • NPI 1154630051
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1417923145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 VALE RD",
            "address_2": "SUITE 101",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063835",
            "telephone_number": "510-233-0056",
            "fax_number": "510-233-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 VALE RD",
            "address_2": "SUITE 101",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063835",
            "telephone_number": "510-233-0056",
            "fax_number": "510-233-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G25858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HILL PHYSICIANS VENDOR #",
            "identifier": "021065",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G258580",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR PROVIDER #",
            "identifier": "196173700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Jonathan Fitzmedrud, PH.D.
• Fatimah Easter Flynt, LVN
• Janeann Fontenot
• Matthew Steven Fore, MD
• Julie Formica
• Natasha A Franklin
• Lori Suzanne Freeman
• Synetta Faye Freeman
• Shawn Dawayne Frison
• Rashad Abrahim Froz, PA-C

• Neurology Physician in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.