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Contact Information

ROBERT C VANDERGRAAF, DO
300 HOSPITAL DR
VALLEJO, CA94589
 Phone: 707-554-4444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for ROBERT C VANDERGRAAF · (Male)

NPI # 1689681595
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/02/2006
Last updated 03/15/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A9081
  • CA Medicaid 00AX90810
  • CA Other 020A90810 BLUE SHIELD OF CALIFORNIA
Hospital affiliation(s)
  • SUTTER SOLANO MEDICAL CENTER - (Acute Care)
    300 HOSPITAL DR
    VALLEJO, CA 94589
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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