Organization Active NPI

Robert W Mayo M.D. Inc

  • Obstetrics & Gynecology Physician
  • Walnut Creek, CA
National Provider Identifier
1750401899
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A18765 Issued in CA
Legal business name
ROBERT W MAYO M.D. INC
Practice address
4225 Arbolado Dr
Walnut Creek, CA 94598-4682
Phone
(925) 930-7740
Fax
(925) 930-9382
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert William Mayo, MD
Title
Owner
Phone
(925) 930-7740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A18765 CA Primary

Addresses

Primary practice location

4225 Arbolado Dr
Walnut Creek, CA 94598-4682

Mailing address

4225 Arbolado Dr
Walnut Creek, CA 94598-4682
Phone (925) 930-7740

Other identifiers 3

IdentifierTypeStateIssuer
A18765OtherCASTATE LICENSE
DO603541OtherCACORPORATION NUMBER
2905216MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750401899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 ARBOLADO DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945984682",
            "telephone_number": "925-930-7740",
            "fax_number": "925-930-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 ARBOLADO DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945984682",
            "telephone_number": "925-930-7740",
            "fax_number": "925-930-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W MAYO M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-930-7740",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A18765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A18765",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION NUMBER",
            "identifier": "DO603541",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2905216",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • 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.