Healthcare Provider Details

I. General information

NPI: 1316162514
Provider Name (Legal Business Name): MR. ROBERT DANIEL FISCHER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 PEARL ST
MONTEREY CA
93940-3070
US

IV. Provider business mailing address

2982 BAYONET CT
MARINA CA
93933-4604
US

V. Phone/Fax

Practice location:
  • Phone: 831-649-4522
  • Fax: 831-647-9136
Mailing address:
  • Phone: 831-783-3068
  • Fax: 831-783-3068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number81027
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: