Physician Compare National (NPI:1578737920)

HEALTHCARE PROVIDER: RICHARD MICHAEL CONTRO MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1578737920
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618056409
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080505000806
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CONTRO
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	15251 NATIONAL AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 106
	Group Practice or individual's line 2 address
City	LOS GATOS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	950322400
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050380
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GOOD SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M