Organization Active NPI

Nancy E Rolnik MD PC

  • Sports Medicine (Family Medicine) Physician
  • Walnut Creek, CA
National Provider Identifier
1508339375
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
NANCY E ROLNIK MD PC
Practice address
108 La Casa Via # 106
Walnut Creek, CA 94598-3013
Phone
(925) 464-7278
Fax
(925) 464-1318
NPI assigned
Jan 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Nancy Rolnik, MD
Title
Owner
Phone
(925) 464-7278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

108 La Casa Via # 106
Walnut Creek, CA 94598-3013

Mailing address

108 La Casa Via # 106
Walnut Creek, CA 94598-3013
Phone (925) 464-7278

Other identifiers 1

IdentifierTypeStateIssuer
A79371OtherCAMEDICAL BOARD OF CALIFORNIA

Other names 1

  • Remedy Sports and Regenerative Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

108 La Casa Via
Ste 106
Walnut Creek, CA 94598
Phone (925) 201-5123

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1508339375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LA CASA VIA # 106",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983013",
            "telephone_number": "925-464-7278",
            "fax_number": "925-464-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LA CASA VIA # 106",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983013",
            "telephone_number": "925-464-7278",
            "fax_number": "925-464-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY E ROLNIK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ROLNIK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-464-7278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A79371",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Remedy Sports and Regenerative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.