Robert J. Stallone M.D., Inc.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

ROBERT J. STALLONE M.D., INC.

Practice address

2999 Regent St
Suite 622
Berkeley, CA 94705-2190

Phone

(510) 549-9192

Fax

(510) 549-9193

NPI assigned

Nov 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert J. Stallone, M.D.

Title

President

Phone

(510) 549-9192

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1487908802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "SUITE 622",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052190",
            "telephone_number": "510-549-9192",
            "fax_number": "510-549-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST",
            "address_2": "SUITE 622",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052190",
            "telephone_number": "510-549-9192",
            "fax_number": "510-549-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. STALLONE M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "STALLONE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-549-9192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Roberts House of Restoration
• Abia-Imo Eyire Roberts

• Vascular Surgery Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.