Healthcare Provider Details
I. General information
NPI: 1306813167
Provider Name (Legal Business Name): PETER ANDREW ROBILIO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/01/2006
Last Update Date: 11/03/2023
Certification Date: 11/03/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2901 N VENTURA RD STE 110
OXNARD CA
93036
US
IV. Provider business mailing address
2901 N VENTURA RD STE 110
OXNARD CA
93036-9705
US
V. Phone/Fax
- Phone: 805-981-6163
- Fax:
- Phone: 805-981-6163
- Fax: 805-981-6189
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | MD00046338 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | A84527 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | MD00046338 |
| License Number State | WA |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | A84527 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: