Provider Demographics
NPI:1689777880
Name:MCAFEE, ROBERT KEITH JR (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:KEITH
Last Name:MCAFEE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 255228
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95865-5228
Mailing Address - Country:US
Mailing Address - Phone:855-771-0335
Mailing Address - Fax:
Practice Address - Street 1:1215 PLUMAS ST STE 800
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4084
Practice Address - Country:US
Practice Address - Phone:530-821-2020
Practice Address - Fax:530-821-2038
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG60646207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF66536Medicare UPIN
CA00G606460Medicare ID - Type Unspecified