Robert James Spensley, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C30158 Issued in CA

Practice address

4217 Winding Woods Way
Fair Oaks, CA 95628-6446

Phone

(916) 704-1015

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 27, 2015 through Jul 27, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1649270802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 WINDING WOODS WAY",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956286446",
            "telephone_number": "916-704-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 WINDING WOODS WAY",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956286446",
            "telephone_number": "916-704-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENSLEY",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C30158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD",
            "identifier": "C30158",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew A Solgi, RN
• Raluca Solovyev
• Ann Soloway, FNP
• Greg Allen Speicher, PHARMD, CDE
• Spendor Oaks Inc
• Spring Glen Elderly Care Villa
• Jacque Matthew Staley
• Karl Frederick Stallcop
• Stanley Huey, O.D. & Tina H. Fong, O.D.
• Jack Herbert Stansfield, DDS

• Psychiatry Physician in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.