Healthcare Provider Details

I. General information

NPI: 1922351881
Provider Name (Legal Business Name): CAITLIN MARGARET RICHARDSON-ROYER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2012
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 SERENO DR
VALLEJO CA
94589-2441
US

IV. Provider business mailing address

5820 OWENS DR
PLEASANTON CA
94588-3900
US

V. Phone/Fax

Practice location:
  • Phone: 707-651-1000
  • Fax:
Mailing address:
  • Phone: 925-737-3798
  • Fax: 877-738-4262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberA204088
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: