Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert Park MD

Organization Nephrology Physician · NPI 1538356035

Robert Park MD is a Nephrology Physician in Petaluma, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

191 Lynch Creek Way Ste 205
Petaluma, CA 94954-2389
Phone: (707) 765-1501
Fax: (707) 765-1530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence G22984 (CA)

Record details

NPI number1538356035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Park — Owner · (707) 765-1501
NPI enumeratedSeptember 27, 2007
Last updated in NPPESOctober 10, 2007
Mailing address191 Lynch Creek Way, Suite 205, Petaluma, CA 94954-2389

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