ROBERT WAYNE LARSEN (NPI# 1427046770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427046770 |
| Entity Type | Individual |
| Full Name | ROBERT WAYNE LARSEN |
| Credential | DPM |
| Practice Address |
1600 Creekside Dr Ste 3100 Folsom CA 95630-3444 |
| Practice Telephone | 9169838555 |
| Practice Fax Number | 9169838568 |
| Mailing Telephone | 9169838555 |
| Mailing Fax Number | 9169838568 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2012-09-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E2687 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E26872 | 05 | |
| DEPT OF LABOR | 318089200 | 01 | |
| CA | 000E26870 | 05 | |
| RAILROAD MEDICARE | 480017653 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255991428 | Robert Charles Larsen | Psychiatry & Neurology | 7 Paintbrush Cir, Santa Fe, NM 87506-9539 | 2019-06-19 |
| 1790095032 | Robert Glen Larsen | Emergency Medicine | 7411 263rd St Apt A1, Glen Oaks, NY 11004-1161 | 2010-10-20 |
| 1356419683 | Robert Arent Larsen | Chiropractor | 2804 Highway 31 S, Decatur, AL 35603-1510 | 2006-12-04 |
| 1124111372 | Robert J Larsen | Physical Therapist | 1551 S Renaissance Twn Dr, Suite 420, Bountiful, UT 84010 | 2006-10-02 |
| 1487940516 | Robert William Larsen | Pharmacist | 490 S Main St, Fort Bragg, CA 95437-4806 | 2011-06-28 |
| 1285789958 | Robert Larsen | Internal Medicine | 1200 N State St, Los Angeles, CA 90033-1029 | 2007-01-24 |
| 1770647307 | Robert Bruce Larsen | Dentist | 1615 Truemper St, Lackland A F B, TX 78236-5511 | 2006-12-20 |
| 1083785026 | Robert Larsen | Dentist | 3431 Murphy Hwy, Blairsville, GA 30512 | 2006-11-13 |
| 1639163553 | Robert Eric Larsen | Anesthesiology | 3315 Watt Ave, Sacramento, CA 95821-3600 | 2005-09-07 |
| Street Address |
1600 CREEKSIDE DR STE 3100 |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790779478 | Roy A Greenberg | Family Medicine | 1600 Creekside Dr, Ste 2100, Folsom, CA 95630-3444 | 2005-09-08 |
| 1801327598 | Folsom Urology Surgical Associates Inc | Specialist | 1600 Creekside Dr, Ste 3600, Folsom, CA 95630-3444 | 2017-03-23 |
| 1710348321 | Meena Medical Group, Inc | Clinic/Center | 1600 Creekside Dr, Suite 2300, Folsom, CA 95630-3444 | 2016-03-09 |
| 1972971703 | Folsom Urgent Care Inc | Specialist | 1600 Creekside Dr, Suite 1400, Folsom, CA 95630-3444 | 2015-09-10 |
| 1447633383 | Folsom Cardiology Inc | Internal Medicine | 1600 Creekside Dr, Suite 3300, Folsom, CA 95630-3444 | 2015-07-08 |
| 1104254671 | Gaby Sibo | Physician Assistant | 1600 Creekside Dr, Suite 3800, Folsom, CA 95630-3444 | 2013-10-21 |
| 1497182117 | Sierra Precision Surgical, Inc. | Surgery | 1600 Creekside Dr, #2200, Folsom, CA 95630-3444 | 2013-09-27 |
| 1518208495 | Deborah L Murray | Nurse Practitioner | 1600 Creekside Dr, Suite 1300, Folsom, CA 95630-3444 | 2013-03-02 |
| 1174868244 | Karen Joanne Dominguez | Nurse Practitioner | 1600 Creekside Dr, Suite 1400, Folsom, CA 95630-3444 | 2012-11-30 |
| 1528335486 | Diane Asmuth | Physician Assistant | 1600 Creekside Dr, #3200, Folsom, CA 95630-3444 | 2011-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
| 1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
| 1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
| 1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
| 1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
| 1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
| Find all providers in zip 95630 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760732242 | Ernest J. Hook Dpm Inc. | Podiatrist | 1580 Creekside Dr. #110, Folsom, CA 95630 | 2012-09-12 |
| 1881696102 | Douglas J Farrell | Podiatrist | 550 Macdade Blvd, Folsom, PA 19033 | 2005-06-01 |
| 1962882084 | Tara L Harrington | Podiatrist | 1743 Creekside Dr Ste 130, Folsom, CA 95630-3541 | 2015-06-03 |
| 1174614051 | Ernest J Hook | Podiatrist | 1580 Creekside Dr, Suite 110, Folsom, CA 95630-3886 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
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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.