| Gregory John Robertson, MD | |
|
1100 Las Tablas Rd, Templeton, CA 93465-9704 | |
| (805) 434-3500 | |
| Not Available |
| Full Name | Gregory John Robertson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1100 Las Tablas Rd, Templeton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659329233 | NPI | - | NPPES |
| P00169429 | Other | CA | MEDICARE RAILROAD |
| 00A769120 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | A76912 (California) | Secondary |
| 207P00000X | Emergency Medicine | A76912 (California) | Primary |
| Entity Name | Med Stops Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295718849 PECOS PAC ID: 9537073242 Enrollment ID: O20031117000873 |
| Entity Name | Central Coast Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972535557 PECOS PAC ID: 9234114067 Enrollment ID: O20040623001681 |
| Entity Name | Pinnacle Emergency Physicians Of Bakersfield, A Professional Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619153251 PECOS PAC ID: 7214086321 Enrollment ID: O20090520000375 |
| Entity Name | Grand Avenue Emergency Physicians Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962913632 PECOS PAC ID: 7315206653 Enrollment ID: O20180112002313 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory John Robertson, MD 877 Oak Park Blvd, Pismo Beach, CA 93449-3292 Ph: (805) 474-8450 | Gregory John Robertson, MD 1100 Las Tablas Rd, Templeton, CA 93465-9704 Ph: (805) 434-3500 |
George P. Lum, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Las Tablas Rd, Templeton, CA 93465 Phone: 805-434-3500 | |
Raul Benjamin Easton-carr, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Las Tablas Rd, Templeton, CA 93465 Phone: 805-434-1869 | |
Ed L Coughlin, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Las Tablas Rd, Templeton, CA 93465 Phone: 805-546-7650 | |
Steven N Benaron, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Las Tablas Rd, Templeton, CA 93465 Phone: 805-546-7650 | |
Gregory J. Frye, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Las Tablas Rd, Templeton, CA 93465 Phone: 805-546-7650 | |
Thomas Hale, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Las Tablas Rd, Templeton, CA 93465 Phone: 805-434-3500 | |
Reynaldo Madrid Cordero, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 350 Posada Ln, Ste. 102, Templeton, CA 93465 Phone: 805-434-3699 Fax: 805-434-4864 |