Healthcare Provider Details

I. General information

NPI: 1841279668
Provider Name (Legal Business Name): ROBERT THOMAS HORVAT MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5189 HOSPITAL RD
MARIPOSA CA
95338-9524
US

IV. Provider business mailing address

2984 M ST
MERCED CA
95348-3214
US

V. Phone/Fax

Practice location:
  • Phone: 209-966-2154
  • Fax: 866-206-1883
Mailing address:
  • Phone: 415-265-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA062483
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA062483
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA62483
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: