Robert P. Hansen, Inc.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G53037 Issued in CA

Legal business name

ROBERT P. HANSEN, INC.

Doing business as

Willow Urgent Care

Practice address

6721 N Willow Ave Ste 104
Fresno, CA 93710-5950

Phone

(225) 363-2193

Fax

(225) 363-2276

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert P Hansen, MD

Title

Owner

Phone

(559) 287-9588

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Willow Urgent Care Doing business as

Locations

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1780868158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2064",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707692064",
            "telephone_number": "225-363-2193",
            "fax_number": "225-363-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6721 N WILLOW AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105950",
            "telephone_number": "225-363-2193",
            "fax_number": "225-363-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P. HANSEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-287-9588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G53037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "ZZZ07635Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emergency Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.