Provider Demographics
NPI:1194712653
Name:DINGLER, ROBERT J (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:DINGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 STELLA CT
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-6326
Mailing Address - Country:US
Mailing Address - Phone:805-610-2394
Mailing Address - Fax:
Practice Address - Street 1:2004 STELLA CT
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-6326
Practice Address - Country:US
Practice Address - Phone:805-610-2394
Practice Address - Fax:805-460-1032
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA54945207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00549450OtherBLUE SHIELD PPIN
CAP00059616OtherRAILROAD MEDICARE
CA00549450OtherBLUE SHIELD PPIN
CAG55694Medicare UPIN