Robert M Peppercorn MD Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ROBERT M PEPPERCORN MD INC

Doing business as

Advanced Dermatology & Laser Center Lincoln Dermatology A Medical Corp

Practice address

350 Del Norte Ave
Yuba City, CA 95991

Phone

(530) 671-4182

Fax

(530) 671-4835

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert M Peppercorn, MD

Title

President

Phone

(530) 671-4182

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Dermatology & Laser Center Lincoln Dermatology A Medical Corp Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Foy Wallace Cox, M.D.

  • Dermatology Physician
  • Yuba City, CA
  • NPI 1184611048
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730263336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 DEL NORTE AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "95991",
            "telephone_number": "530-671-4182",
            "fax_number": "530-671-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 DEL NORTE AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "95991",
            "telephone_number": "530-671-4182",
            "fax_number": "530-671-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M PEPPERCORN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEPPERCORN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-671-4182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0046090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dermatology & Laser Center Lincoln Dermatology A Medical Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Phillip Ritchey, PAC
• Allen Marcos Rivas
• Fatima Rivera
• Laney Addison Rivers
• Robert L. Ripley, DDS, Inc.
• Conchita Robles-Shepard
• Joselyn Robles
• Bryan Rodrigues, PT
• Adrian Rodriguez, LCSW60626
• Andrea Rodriguez

• Dermatology Physician in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.