LANDGRAF D O, ROBERT L (NPI# 1558704171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558704171 |
| Entity Type | Organization |
| Organization Name | LANDGRAF D O, ROBERT L |
| Other Organization Name | FAMILY MEDICINE |
| Practice Address |
2560 N Texas St Suite C Fairfield CA 94533-1649 |
| Practice Telephone | 7074234355 |
| Practice Fax Number | 7074234353 |
| Mailing Telephone | 7074234355 |
| Mailing Fax Number | 7074234353 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |
| Authorized Official Name | DR. ROBERT LAWRENCE LANDGRAF (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 7074234355 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
20A7022 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OOAX70220 | 05 |
| Other Name | Type Code |
|---|---|
| Family Medicine | Doing Business As Name - Organization |
| Street Address |
2560 N TEXAS ST SUITE C |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-1649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821032970 | Robert Lawrence Landgraf | Family Medicine | 2560 N Texas St, Ste C, Fairfield, CA 94533-1649 | 2006-06-16 |
| 1316331069 | Cindelle Leyson | Occupational Therapist | 2560 N Texas St, Fairfield, CA 94533-1649 | 2015-03-19 |
| 1447538178 | Jonathan Po | Dentist | 2560 N Texas St, Suite H, Fairfield, CA 94533-1649 | 2011-07-29 |
| 1821220088 | Nina Toni Schultz | Specialist | 2560 N Texas St, Ste. D, Fairfield, CA 94533-1649 | 2009-08-20 |
| 1689825762 | Tina Marie Blythe | Specialist | 2560 N Texas St, Suite D, Fairfield, CA 94533-1649 | 2008-10-07 |
| 1275781700 | Childrens Therapy Works | Clinic/Center | 2560 N Texas St, Suite D, Fairfield, CA 94533-1649 | 2008-09-09 |
| 1720154347 | Peter Figueroa Salcedo | Dentist | 2560 N Texas St, Suite H, Fairfield, CA 94533-1649 | 2006-11-27 |
| 1013081918 | Soltani & Po,d.d.s., Inc. Apc | Dentist | 2560 N Texas St, Suite H, Fairfield, CA 94533-1649 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1548595309 | Dasari Medical Corporation | Clinic/Center | 1620 Pennsylvania Ave, D, Fairfield, CA 94533-3551 | 2009-10-13 |
| 1326236753 | Jayesh J. Patel M.d. Inc | Clinic/Center | 1525 Webster St Ste A, Fairfield, CA 94533-4935 | 2007-10-10 |
| 1538296231 | Fairfieldprimaryhealthcare,llc | Clinic/Center | 1261 Post Rd, Suite 201, Fairfield, CT 06824-6072 | 2007-02-28 |
| 1194735811 | Jeannette Peterson Md Inc | Clinic/Center | 1261 Travis Blvd, Suite 100, Fairfield, CA 94533-4897 | 2006-08-08 |
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| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.