Provider Demographics
NPI:1649287426
Name:ROBSON, JANET (NP)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:ROBSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL PLAZA GOTTSCHALK MEDICAL PLAZA
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92697-0001
Mailing Address - Country:US
Mailing Address - Phone:949-824-8600
Mailing Address - Fax:949-824-1589
Practice Address - Street 1:1 MEDICAL PLAZA GOTTSCHALK MEDICAL PLAZA
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92697-0001
Practice Address - Country:US
Practice Address - Phone:949-824-8600
Practice Address - Fax:949-824-1589
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP14177363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00NP141770OtherBLUE SHIELD
CA00NP141770OtherBLUE SHIELD
CAQ10061Medicare UPIN