MEDICARE: DR. ROBERT ALAN DEL PERO M.D.

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	207W00000X	Ophthalmology Physician	G47676	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	680204927	OTHER	CA	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	00G476760	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1578577102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ALAN DEL PERO M.D.

Provider Business Mailing Address
First Line	:	950 THARP RD
Second Line	:	SUITE 1500
City	:	YUBA CITY
State	:	CA
Zip	:	95993-8352
Country	:	US
Telephone Number	:	530-671-7100
Fax Number	:	530-671-7121

Provider Business Practice Location Address
First Line	:	950 THARP RD
Second Line	:	SUITE 1500
City	:	YUBA CITY
State	:	CA
Zip	:	95993-8352
Country	:	US
Telephone Number	:	530-671-7100
Fax Number	:	530-671-7121

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	02/17/2010

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