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ROBERT PARK M.D.
NPI 1538356035
Internal Medicine - Nephrology in Petaluma, CA

Active since September 27, 2007
191 LYNCH CREEK WAY, SUITE 205, PETALUMA, CA 94954(707) 765-1501(707) 765-1530 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Robert Park M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT PARK M.D. (NPI 1538356035) is a healthcare organization registered as a nephrology in Petaluma, California and active in the NPI registry since September 2007. The organization lists Robert Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1538356035
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameROBERT PARK M.D.
Location Address191 LYNCH CREEK WAY, SUITE 205Petaluma, CA 94954-2389
Mailing Address191 Lynch Creek Way, Suite 205Petaluma, CA 94954-2389 · (707) 765-1501 · Fax (707) 765-1530
Phone(707) 765-1501
Fax(707) 765-1530
Organization SubpartNo
Authorized OfficialRobert ParkOwner · (707) 765-1501
Enumeration DateSeptember 27, 2007
Last NPPES UpdateOctober 10, 2007
✔ NPI 1538356035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · G22984
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
191 LYNCH CREEK WAY, Petaluma, CA 94954
Open in Google Maps ↗

Other Identifiers 1

Medicare PINZZZ23668ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARINAZ AZARI MD INC
Pain Medicine (Interventional Pain Medicine)
191 LYNCH CREEK WAY, SUITE 101
PETALUMA, CA 94954
Sonoma County (707) 968-7295
PAVEL KOSTYSHAK DC
Chiropractor
191 LYNCH CREEK WAY, #204
PETALUMA, CA 94954
Sonoma County (707) 776-6445
SEQUOIA SENIOR SOLUTIONS, INC.
In Home Supportive Care
191 LYNCH CREEK WAY, SUITE 102
PETALUMA, CA 94954
Sonoma County (707) 763-6600
DR. KEVIN BARKLEY LINZEY D.C.
Chiropractor
191 LYNCH CREEK WAY, STE 201
PETALUMA, CA 94954
Sonoma County (707) 762-4449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Park M.D.'s NPI number?

The NPI number for Robert Park M.D. is 1538356035. It was assigned to this organization in the NPPES registry on September 27, 2007.

Where is Robert Park M.D. located?

Robert Park M.D. is located at 191 Lynch Creek Way Suite 205, Petaluma, CA 94954. The listed phone number is (707) 765-1501.

What is Robert Park M.D.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Robert Park M.D. was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.