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Active NPI 1275654295 Individual Practitioner Male Practitioner

Dr. Robert Edwin Noll , MD

Surgery • Mather, CA

Professional Overview & Biography Verified Profile Summary

Dr. Robert Noll, MD is a registered healthcare professional specializing in Surgery in Mather, CA. Practice services are available at 10535 HOSPITAL WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10535 Hospital Way
Surgical Service (112/smat)

Mather, CA 956554200

Telephone 9168439388
Associated Practice Facility / Clinic
🏢 Va Mather Facility NPI 1437136066

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mather, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
5 Specialists

Practicing in Mather, CA (3346 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA C54369

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
04009361 (MS)
Medicaid State Provider ID
1077691 (LA)

Secondary Practice Locations

101 Bodin Cir

Travis Afb, CA 945351809

Phone: 7074232300

Practice Associates & Co-Workers

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

40 Associated Practitioners
Alayna Nguyen

Pharmacist

NPI 1003538505
NPI 1003828310

Registered Pharmacist

NPI 1003898750

Doctor of Medicine (M.D.)

Shin Shan Cho

Dietitian, Registered

NPI 1013574078
Brenda Jackson , LMFT

Marriage & Family Therapist

NPI 1013672153

Licensed Marriage and Family Therapist

Dr. Jeffrey Meter , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1023074796

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2018

Surgery (License #C54369 in CA)

NPI Profile Active October 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2014

Registered at 10535 HOSPITAL WAY, SURGICAL SERVICE (112/SMAT), MATHER, CA 956554200 (Tel: 9168439388)

📍
Updated Business Mailing Address October 30, 2014

Registered at 10535 HOSPITAL WAY, SURGICAL SERVICE (112/SMAT), MATHER, CA 956554200 (Tel: 9168439388)

👤
Provider Name / Credentials Updated October 30, 2014

Recorded as ROBERT NOLL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2014

Surgery (License #MD.200808 in LA)

🟢
Initial NPI Registration & Enumeration April 03, 2007

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: 1275654295
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2007
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

10535 Hospital Way, Surgical Service (112/smat)

Mather, CA 956554200

Phone: 9168439388

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.