MARK TODD ROBACK DO NPI 1801969829

NPI Information

  • NPI: 1801969829
  • Provider Name: MARK TODD ROBACK, DO
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3304 RENNER DR
    FORTUNA, CA
    ZIP 95540
  • Phone: (707) 725-4477

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NPI Details

Mark Todd Roback, DO is a general practice in Fortuna, CA with 22 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Mark Todd Roback, DO NPI is 1801969829. 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:

3304 RENNER DR
FORTUNA, CA
ZIP 95540-102
Phone: (707) 725-4477
Fax: (707) 725-9209

The NPI 1801969829 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Smoking and tobacco use intensive counseling, more than 10 minutes (HCPCS:99407)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)

The enumeration date for this NPI number is 11/16/2006 and was last updated on 8/25/2014.

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
1207Q00000XFamily MedicineR1153KENTUCKYNo
2208D00000XGeneral Practice20A10324CALIFORNIAYes

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
10771920MEDICARE PIN
20903682MEDICARE PIN
31801969829OTHERCALIFORNIANPI
40396858MEDICARE PIN
50952012MEDICARE PIN
6R1153OTHERKENTUCKYTEMP LICENSE
7P00404552MEDICARE PINKENTUCKY
8172347MEDICARE UPINCALIFORNIA
90601443MEDICARE PIN
100745827MEDICARE PIN
110935388MEDICARE PIN
1200151007MEDICARE PIN
130935812MEDICARE PIN
147100028230MEDICAIDKENTUCKY
150683240MEDICARE PIN

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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