Robert P Jablonsky, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

46510 Issued in CA

Practice address

2505 E Divisadero St
Fresno, CA 93721-1401

Phone

(559) 457-5500

Fax

(559) 457-5599

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1871502211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211401",
            "telephone_number": "559-457-5500",
            "fax_number": "559-457-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211401",
            "telephone_number": "559-457-5500",
            "fax_number": "559-457-5599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E El Monte Way",
            "address_purpose": "LOCATION",
            "city": "Dinuba",
            "state": "CA",
            "postal_code": "936181611",
            "country_code": "US",
            "telephone_number": "559-595-9500",
            "fax_number": "559-595-9039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 E El Monte Way",
            "address_purpose": "LOCATION",
            "city": "Dinuba",
            "state": "CA",
            "postal_code": "936181611",
            "country_code": "US",
            "telephone_number": "559-595-9500",
            "fax_number": "559-595-9039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JABLONSKY",
        "first_name": "ROBERT",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A46510",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "46510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A465100",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM53898F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A465102",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.