Organization Active NPI

Robert C. Fox, M.D. Inc.

  • Ophthalmology Physician
  • Redding, CA
National Provider Identifier
1508084658
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C50857 Issued in CA
Legal business name
ROBERT C. FOX, M.D. INC.
Practice address
2216 Buenaventura Blvd
Redding, CA 96001
Phone
(530) 241-6550
Fax
(530) 241-1279
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Ms. Doris J Fannin
Title
Office Manager
Phone
(530) 241-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X C50857 CA Primary

Addresses

Primary practice location

2216 Buenaventura Blvd
Redding, CA 96001

Mailing address

2216 Buenaventura Blvd
Redding, CA 96001
Phone (530) 241-6550

Other identifiers 1

IdentifierTypeStateIssuer
00C508570MedicaidCA

National Provider Directory

National Provider Directory

Locations

1441 Liberty St
Ste 205
Redding, CA 96001
Phone (530) 241-6550

2216 Buenaventura Blvd
Redding, CA 96001
Phone (530) 241-6550

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1508084658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 BUENAVENTURA BLVD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-241-6550",
            "fax_number": "530-241-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 BUENAVENTURA BLVD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-241-6550",
            "fax_number": "530-241-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. FOX, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "FANNIN",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-241-6550",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C50857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C508570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

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

Verify at the official NPI Registry.