Organization Active NPI

Arthur C. Fenn & Romeo C. Agbayani MD PTR

  • Otolaryngology Physician
  • Greenbrae, CA
National Provider Identifier
1679714174
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ARTHUR C. FENN & ROMEO C. AGBAYANI MD PTR
Practice address
1000 S Eliseo Dr Ste 103
Greenbrae, CA 94904-2150
Phone
(415) 461-9773
Fax
(415) 461-6744
NPI assigned
Mar 12, 2009
Last updated
Mar 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Dr. Romeo C. Agbayani, MD
Title
Physcian
Phone
(415) 461-9773

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary
Surgery Physician 208600000X NU

Addresses

Primary practice location

1000 S Eliseo Dr Ste 103
Greenbrae, CA 94904-2150

Mailing address

1000 S Eliseo Dr Ste 103
Greenbrae, CA 94904-2150
Phone (415) 461-9773

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1679714174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S ELISEO DR STE 103",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042150",
            "telephone_number": "415-461-9773",
            "fax_number": "415-461-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S ELISEO DR STE 103",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042150",
            "telephone_number": "415-461-9773",
            "fax_number": "415-461-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR C. FENN & ROMEO C. AGBAYANI MD PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "AGBAYANI",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "415-461-9773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.