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NPI Code Detail

MEDICARE: ROBERT SCOTT FORSTER M.D.

MEDICARE: ROBERT SCOTT FORSTER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianG63444CA
2207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianG63444CA

General Provider Information

NPI Number : 1003883356
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT SCOTT FORSTER M.D.
Provider Business Mailing Address
First Line : PO BOX 1389
Second Line :
City : PLEASANTON
State : CA
Zip : 94566-0138
Country : US
Telephone Number : 855-525-3120
Fax Number : 925-400-6910
Provider Business Practice Location Address
First Line : 19842 LAKE CHABOT RD
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-4002
Country : US
Telephone Number : 510-886-8844
Fax Number : 510-886-2936
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 03/24/2016

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