Provider Demographics
NPI:1497745772
Name:ROBERTO, ROLANDO F (MD)
Entity Type:Individual
Prefix:DR
First Name:ROLANDO
Middle Name:F
Last Name:ROBERTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4860 Y ST
Mailing Address - Street 2:ACC #3800
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2307
Mailing Address - Country:US
Mailing Address - Phone:916-734-6234
Mailing Address - Fax:916-734-7904
Practice Address - Street 1:4860 Y ST
Practice Address - Street 2:ACC #3800
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:916-734-6234
Practice Address - Fax:916-734-7904
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG868700207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G868700Medicaid
CAF83358Medicare UPIN
CA00G868700Medicare ID - Type Unspecified