DR. ROBERT JAY ROTHBAUM M.D. NPI 1326066887

NPI Information

  • NPI: 1326066887
  • Provider Name: DR. ROBERT JAY ROTHBAUM, M.D.
  • Classification: Pediatrics - 2080P0206X
  • Specialization: Pediatric Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 747 52ND STREET
    PEDIATRIC GASTROENTEROLOGY, HEPATOLOGY AND NUTRITION
    OAKLAND, CA
    ZIP 94609
  • Phone: (510) 428-3058

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NPI Details

DR. Robert Jay Rothbaum, M.D. is a pediatric gastroenterology pediatrics in Oakland, CA. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DR. Robert Jay Rothbaum, M.D. NPI is 1326066887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

747 52ND STREET
PEDIATRIC GASTROENTEROLOGY, HEPATOLOGY AND NUTRITION
OAKLAND, CA
ZIP 94609
Phone: (510) 428-3058
Fax: (510) 450-5813

The NPI 1326066887 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 6/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsR8845MISSOURINo
22080P0206XPediatricsPediatric GastroenterologyR8845MISSOURINo
32080P0206XPediatricsPediatric GastroenterologyG158847CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1202032207MEDICAIDMISSOURI
2ENROLLEDMEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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