Provider Demographics
NPI:1316017601
Name:ADAMS, ROBERT MAURICE (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:MAURICE
Last Name:ADAMS
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 1:5 VIA JOAQUIN
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4530
Mailing Address - Country:US
Mailing Address - Phone:831-649-1144
Mailing Address - Fax:831-649-3529
Practice Address - Street 1:5 VIA JOAQUIN
Practice Address - Street 2:SUITE 1
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4530
Practice Address - Country:US
Practice Address - Phone:831-649-1144
Practice Address - Fax:831-649-3529
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC29385207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C293850Medicaid
CA00C293850Medicaid
A33907Medicare UPIN