Provider Demographics
NPI:1578577102
Name:DEL PERO, ROBERT ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALAN
Last Name:DEL PERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:950 THARP RD
Mailing Address - Street 2:SUITE 1500
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-8352
Mailing Address - Country:US
Mailing Address - Phone:530-671-7100
Mailing Address - Fax:530-671-7121
Practice Address - Street 1:950 THARP RD
Practice Address - Street 2:SUITE 1500
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-8352
Practice Address - Country:US
Practice Address - Phone:530-671-7100
Practice Address - Fax:530-671-7121
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG47676207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA680204927OtherBLUE CROSS
CA00G476760Medicaid
CA00G476760OtherBLUE SHIELD
CA680204927OtherBLUE CROSS
CA00G476760Medicare ID - Type Unspecified