Healthcare Provider Details

I. General information

NPI: 1578495123
Provider Name (Legal Business Name): JOHN ROBINSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 SAUSALITO BLVD
SAUSALITO CA
94965-2336
US

IV. Provider business mailing address

601 SAUSALITO BLVD
SAUSALITO CA
94965-2336
US

V. Phone/Fax

Practice location:
  • Phone: 415-342-0232
  • Fax:
Mailing address:
  • Phone: 415-342-0232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG60738
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: