Healthcare Provider Details

I. General information

NPI: 1396030482
Provider Name (Legal Business Name): ROBERT PURCHASE MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2011
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 HYDE ST FL 11
SAN FRANCISCO CA
94109-4806
US

IV. Provider business mailing address

2001 WINWARD WAY STE 101
SAN MATEO CA
94404-2499
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-6400
  • Fax: 415-353-6401
Mailing address:
  • Phone: 415-353-6380
  • Fax: 415-353-6266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT JOHN PURCHASE
Title or Position: PRESIDENT
Credential: MD
Phone: 415-886-8538