ROBERT ANTHONY MATLI


Address: 2238 Westborotgh Blvd, South San Francisco, CA 94080
Phone: 6508730551

ROBERT ANTHONY MATLI (NPI# 1063796928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063796928
Entity Type Individual
Full Name ROBERT ANTHONY MATLI
Credential RPH
Practice Address 2238 Westborotgh Blvd
South San Francisco
CA 94080
Mailing Address 2463 Funston Ave
San Francisco
CA 94116-1950
Practice Telephone 6508730551
Mailing Telephone 4155669995
Enumeration Date 2011-10-10
Last Update Date 2011-10-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835G0303X Pharmacist
Specialization: Geriatric
RPH35497 CA Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA CALIFORNIA PHARMACY LICENSE RPH35497 01

Office Location

Street Address 2238 WESTBOROTGH BLVD
City SOUTH SAN FRANCISCO
State CA
Zip Code 94080

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Taxonomy Information

Taxonomy Code 1835G0303X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Geriatric

Taxonomy Definition

A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.
Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new]

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1457724932 Kaveh Barjesteh Pharmacist 255 Village Run E, Encinitas, CA 92024-3045 2015-11-05
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Competitor

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City SOUTH SAN FRANCISCO
Zip Code 94080

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Dataset Information

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.

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