Rolf Gustav Palmer, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A39999 Issued in CA

Practice address

1120 2ND St
Suite109
Brentwood, CA 94513-2295

Phone

(925) 933-3902

Fax

(925) 933-3902

NPI assigned

May 10, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Undefined Non-Physician Type (Specify)

Education

University of California, Davis School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Brain Wellness Center PC

  • Psychiatry Physician
  • San Ramon, CA
  • NPI 1902356082
  Medicare reassignment NPD
• Silicon Valley TMS, PC

  • Psychiatry Physician
  • San Ramon, CA
  • NPI 1346949476
  NPD

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1710936166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945970096",
            "telephone_number": "925-933-3902",
            "fax_number": "925-933-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 2ND ST",
            "address_2": "SUITE109",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132295",
            "telephone_number": "925-933-3902",
            "fax_number": "925-933-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ROLF",
        "middle_name": "GUSTAV",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A39999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William S. Paden
• Stephanie S Padero, OTR/L
• Edgar Padilla-Perez
• Lacresia Paige
• Kristin M Palmer, MS
• Hasmin Palo
• Bianca Adriana Palomera
• Pam Mikolajczyk Marriage & Family Therapist, a Professional Corporatio
• Mary Regine Vida Balgua Panga
• John Panis

• Psychiatry Physician in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.