Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | G42980 | CA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | G42980 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | G42980 | CA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | G42980 | CA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | G42980 | CA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | G42980 | CA |
NPI | 1871560482 |
---|---|
Provider Name | Dr. Robert A Rovner |
First Address | Danville, CA 94526-6258 |
Second Address | Danville, CA 94526-6258 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2006 |
Last Update Date | 24/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G429803 | BLUE SHIELD (01) | CA |
A49182 | (02) | CA |
CA124134 | MEDICARE PTAN (01) | CA |
P00041947 | RAIL ROAD MEDICARE (01) | CA |