Active NPI
Robert W Mayo M.D. Inc
- Obstetrics & Gynecology Physician
- Walnut Creek, CA
National Provider Identifier
1750401899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A18765
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A18765 | Other | CA | STATE LICENSE |
| DO603541 | Other | CA | CORPORATION NUMBER |
| 2905216 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.