Provider Demographics
NPI:1255348660
Name:BELLINOFF, ROBERT D (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:D
Last Name:BELLINOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 Q ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7058
Practice Address - Country:US
Practice Address - Phone:916-733-5336
Practice Address - Fax:916-733-5385
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG50353207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA501104OtherHEALTH NET
CA00G503530OtherBLUE SHIELD
CA90026483OtherPACIFICARE
CA2184171OtherFIRST HEALTH
CA14039OtherFIRST HEALTH
CA000810353886OtherPHCS
CAG50353OtherBLUE CROSS
CA401222OtherGREAT WEST
CA00G503530Medicaid
CA2654OtherINTERPLAN
CA4507071OtherAETNA
CA815282OtherUNITED
CA3335416OtherCIGNA
CAMCMG167500OtherWESTERN HEALTH ADVANTAGE
CA2184171OtherFIRST HEALTH
CA815282OtherUNITED