MEDICARE: ROBIN WEMPE PA

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
1	363A00000X	Physician Assistant	PA16062	CA

General Provider Information

NPI Number	:	1750568721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN WEMPE PA

Provider Business Mailing Address
First Line	:	P.O. BOX 22210
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94623-2210
Country	:	US
Telephone Number	:	925-676-0505
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 HOSPITAL DRIVE
Second Line	:	NORTH VALLEJO
City	:	VALLEJO
State	:	CA
Zip	:	94589-2577
Country	:	US
Telephone Number	:	707-641-1900
Fax Number	:	707-554-2294

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2008
Last Update Date	:	02/22/2012

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