MEDICARE: DR. ROBERT JOHN ALGAIER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	036114672	IL
2	2084P0804X	Child & Adolescent Psychiatry Physician	A44076	CA
3	2084P0800X	Psychiatry Physician	A44076	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	K233594	OTHER	IL	MEDICARE-WPS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8115303	OTHER	IL	BCILLINOIS
4	IL01Y5	OTHER		JOHN DEERE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	94866	OTHER	IA	BCWELLMARK

General Provider Information

NPI Number	:	1164496709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT JOHN ALGAIER MD

Provider Business Mailing Address
First Line	:	4441 E KINGS CANYON RD
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93702-3604
Country	:	US
Telephone Number	:	559-600-9171
Fax Number	:

Provider Business Practice Location Address
First Line	:	4441 E KINGS CANYON RD
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93702-3604
Country	:	US
Telephone Number	:	559-600-9171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	05/05/2022

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Directions to “ DR. ROBERT JOHN ALGAIER MD” Practice Location

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