Healthcare Provider Details

I. General information

NPI: 1649482027
Provider Name (Legal Business Name): ROBERT E. DUBRO D.C., DACBOH, DABCO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46923 WARM SPRINGS BLVD SUITE 101
FREMONT CA
94539-7914
US

IV. Provider business mailing address

46923 WARM SPRINGS BLVD SUITE 101
FREMONT CA
94539-7914
US

V. Phone/Fax

Practice location:
  • Phone: 510-657-9367
  • Fax: 510-657-3607
Mailing address:
  • Phone: 510-657-9367
  • Fax: 510-657-3607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number18783
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number18783
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: