ROBERT CHARLES SOUTHMAYD D.O. NPI 1982700969

NPI Information

  • NPI: 1982700969
  • Provider Name: ROBERT CHARLES SOUTHMAYD, D.O.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 420 W ACACIA ST
    SUITE 11
    STOCKTON, CA
    ZIP 95203
  • Phone: (209) 948-4098

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NPI Details

Robert Charles Southmayd, D.O. is an obstetrics gynecology in Stockton, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Robert Charles Southmayd, D.O. NPI is 1982700969. 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:

420 W ACACIA ST
SUITE 11
STOCKTON, CA
ZIP 95203-441
Phone: (209) 948-4098
Fax: (209) 948-2334

The NPI 1982700969 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 8/26/2015.

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
1207V00000XObstetrics & Gynecology20A5298CALIFORNIAYes

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
1911803606OTHERCALIFORNIABLUE SHIELD
2160038160OTHERCALIFORNIARAILROAD MEDICARE
3020A52980MEDICARE PINCALIFORNIA
4E05424MEDICARE UPINCALIFORNIA
500AX52980MEDICAIDCALIFORNIA

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: 3/30/2025

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