Robert Clyde Hostetter, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G33650 Issued in CA

Practice address

300 Canal St
King City, CA 93930-3431

Phone

(831) 385-6000

Fax

(831) 385-0414

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Hermanson Medical Group a Professional Corporation

  • Emergency Medicine Physician
  • King City, CA
  • NPI 1912936766
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1528048931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 STATE ST STE 300",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053137",
            "telephone_number": "831-385-4603",
            "fax_number": "831-385-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CANAL ST",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939303431",
            "telephone_number": "831-385-6000",
            "fax_number": "831-385-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTETTER",
        "first_name": "ROBERT",
        "middle_name": "CLYDE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G33650",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G33650",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G336500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher G Hermanson, MD
• Julian Jose Hernandez
• Rachel Hernandez
• James Hlavacek, M.D.
• Bridget Tully Honeycutt, PT
• Gloria Hwang
• Erica Isabel I Zamudio
• Tawfiq Imam, RPH
• Jay Cooper MD Inc
• Lucy Jeronimo, CADC I

• Emergency Medicine Physician in King City, CA
• Providers in King City, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.