Basic Information
Provider Information
NPI: 1386693547
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMILTON
FirstName: ROBERT
MiddleName: C.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1990 NORTH CALIFORNIA BLVD
Address2: SUITE 400
City: WALNUT CREEK
State: CA
PostalCode: 94596
CountryCode: US
TelephoneNumber: 9252255837
FaxNumber:  
Practice Location
Address1: 1990 N CALIFORNIA BLVD
Address2: SUITE 400
City: WALNUT CREEK
State: CA
PostalCode: 945963742
CountryCode: US
TelephoneNumber: 9252255837
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/08/2006
LastUpdateDate: 06/25/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XG48570CAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


Home