Robert J. Kolesnik M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G44386 Issued in CA

Legal business name

ROBERT J. KOLESNIK M.D., INC.

Practice address

1230 E Arrow Hwy
Upland, CA 91786-4910

Phone

(909) 920-0298

Fax

(909) 985-9227

NPI assigned

Dec 1, 2006

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert James Kolesnik, MDNPI 1760564256

Title

President

Phone

(909) 920-0298

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert James Kolesnik, MD

  • Specialist
  • Upland, CA
  • NPI 1760564256
  Authorized official Same address or phone

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1639247216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E ARROW HWY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864910",
            "telephone_number": "909-920-0298",
            "fax_number": "909-985-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E ARROW HWY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864910",
            "telephone_number": "909-920-0298",
            "fax_number": "909-985-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. KOLESNIK M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "KOLESNIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-920-0298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G44386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G44386",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Syed Muhammad Hammad Rizvi, MD
• Jacob Roach, M.S., BCBA
• Steven Roberson
• Robert a Armada D O Inc
• Robert H. Sorosky M.D. Inc.
• Robert P Byrne a Chiropractic Corporation
• Robert West MD Inc
• Cheridan Roberts
• Laney Roberts, LMFT
• Robinson House

• Specialist in Upland, CA
• Providers in Upland, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.