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Deactivated NPI 1063426112 Deactivated / Inactive NPI Male Practitioner

Dr. Robert C Black , MD

Ophthalmology • Fremont, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Black has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 27, 2006
NPI Deactivation Date June 20, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Black, MD was a registered Ophthalmology practicing in Fremont, CA. Throughout an active medical career spanning 12 years, Dr. Black provided care at the practice location at 3885 BEACON AVE until profile deactivation on 2018-06-20.

Historical Medicare Part B clinical services included established patient complete exam of visual system, established patient outpatient office visit, exam of visual field with extended testing. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3885 Beacon Ave
Suite A

Fremont, CA 945381462

Telephone 5107946373
Fax 5107941787

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Fremont, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.4 Yrs
State Avg: 29.5 Yrs
Regional Practice Density
22 Specialists

Practicing in Fremont, CA (3116 Statewide)

Telehealth Adoption Rate
22.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
14.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
87 87 $160.00 $138.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
66 37 $55.00 $48.19
92083 Exam of visual field with extended testing
27 27 $90.00 $73.88

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CA C23320

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Colin Yoshida , DDS

Dentist - General Practice

NPI 1750303046

Doctor of Dental Surgery

Janine Nelson , RDH

Dental Hygienist

NPI 1891110870

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 20, 2018

Record deactivated on June 20, 2018

NPI Profile Active December 16, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 16, 2011

Registered at 3885 BEACON AVE, SUITE A, FREMONT, CA 945381462 (Tel: 5107946373)

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Updated Business Mailing Address December 16, 2011

Registered at 3885 BEACON AVE, SUITE A, FREMONT, CA 945381462 (Tel: 5107946373)

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Provider Name / Credentials Updated December 16, 2011

Recorded as ROBERT BLACK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2011

Ophthalmology (License #C23320 in CA)

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Initial NPI Registration & Enumeration July 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063426112
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2006
Last Update: December 16, 2011
Deactivation Date: June 20, 2018

Mailing Address

3885 Beacon Ave, Suite A

Fremont, CA 945381462

Phone: 5107946373

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.