Individual provider Active NPI

Robert H. Dunham, M.D.

  • Surgery Physician
  • Napa, CA
National Provider Identifier
1700851870
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G74484 Issued in CA
Practice address
3434 Villa LN
Suite 260
Napa, CA 94558-6405
Phone
(707) 224-7757
Fax
(707) 224-5870
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G74484 CA Primary

Addresses

Primary practice location

3434 Villa LN
Suite 260
Napa, CA 94558-6405

Mailing address

3434 Villa LN
Suite 260
Napa, CA 94558-6405
Phone (707) 224-7757

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rdunham1657658@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031230000387 CA Practitioner - General Surgery 2062310964 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Loma Linda University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1000 Trancas St
Napa, CA 94558-2906
Phone (707) 252-4411

1100 Trancas St
Napa, CA 94558-2909

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210

200 W Ctr St Promenade
Anaheim, CA 92805-3960

3434 Villa LN
Suite 260
Napa, CA 94558-6415
Phone (707) 224-7757

500 Doyle Park Dr
Santa Rosa, CA 95405-4559

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18
Hernia repair (minimally invasive)13
Mastectomy11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
74484CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Feb 23, 2015 Accepting new patients
Providence Medical Foundation CurrentSince Feb 23, 2015 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Surgical Affiliates of California Surgery CurrentSince Dec 19, 2015 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Mar 1, 2015 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Veterans Home of California Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

807 Illinois Ave
Los Banos, CA 93635
Phone (209) 710-8542

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

3434 Villa Ln
Ste 260
Napa, CA 94558
Phone (707) 224-7757

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

Interoperability endpoints

  • Direct secure messaging: rdunham1657658@oc.providencedirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1700851870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 VILLA LN",
            "address_2": "SUITE 260",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586405",
            "telephone_number": "707-224-7757",
            "fax_number": "707-224-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 VILLA LN",
            "address_2": "SUITE 260",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586405",
            "telephone_number": "707-224-7757",
            "fax_number": "707-224-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "ROBERT",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G74484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdunham1657658@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3434 Villa Ln",
            "address_2": "Suite 260",
            "city": "Napa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945586405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.