Provider Demographics
NPI:1811912975
Name:MOLINA, CESAR RIGOBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:CESAR
Middle Name:RIGOBERTO
Last Name:MOLINA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2490 HOSPITAL DR STE 309
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4125
Mailing Address - Country:US
Mailing Address - Phone:650-961-7021
Mailing Address - Fax:650-969-8679
Practice Address - Street 1:2490 HOSPITAL DR STE 309
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4125
Practice Address - Country:US
Practice Address - Phone:650-961-7021
Practice Address - Fax:650-969-8679
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG45862207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G458620OtherBLUE SHIELD PROVIDER ID
CA00G458620Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
CAE50367Medicare UPIN