Provider Demographics
NPI:1851358915
Name:OZAKI, ROBERT H (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:H
Last Name:OZAKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 HARRISON ST
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3429
Mailing Address - Country:US
Mailing Address - Phone:510-625-5356
Mailing Address - Fax:
Practice Address - Street 1:320 LENNON LN
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2419
Practice Address - Country:US
Practice Address - Phone:925-532-4392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8665207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL42040OtherBLUE CROSS BLUE SHIELD OF FLORIDA
FL1677077OtherAETNA
FL274393100Medicaid
FL274393100OtherACCESS HEALTH ADMINISTRATORS
FL298972OtherAVMED
FL42040OtherBLUE CROSS BLUE SHIELD OF FLORIDA
FL$$$$$$$$$OtherTRICARE SOUTH
FL274393100Medicaid