Active NPI
Nancy E Rolnik MD PC
- Sports Medicine (Family Medicine) Physician
- Walnut Creek, CA
National Provider Identifier
1508339375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A79371 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
Other names 1
- Remedy Sports and Regenerative Medicine
National Provider Directory
National Provider DirectoryLocations
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.