Healthcare Provider Details

I. General information

NPI: 1326122425
Provider Name (Legal Business Name): MARIO AUGUSTO ROJAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 VALLEY CHILDRENS PL
MADERA CA
93636-8761
US

IV. Provider business mailing address

9300 VALLEY CHILDREN'S HOSPITAL, NEONATOLOGY
MADERA CA
93720-4334
US

V. Phone/Fax

Practice location:
  • Phone: 559-353-5700
  • Fax:
Mailing address:
  • Phone: 336-971-9785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberMD37625
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: