Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1699781922 Deactivated / Inactive NPI Male Practitioner

Dr. Robert L Black , MD

Pediatrics • Monterey, CA

⚠️

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 31, 2006
NPI Deactivation Date June 26, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Black, MD was a registered Pediatrics practicing in Monterey, CA. Throughout an active medical career spanning 13 years, Dr. Black provided care at the practice location at 1900 GARDEN RD STE 110 until profile deactivation on 2019-06-26.

Practice Location & Contact Primary Location

Practice Address

1900 Garden Rd Ste 110

Monterey, CA 939405334

Telephone 8313722594
Associated Practice Facility / Clinic
🏢 Penn, Kanaya, Dwelle, Md's Facility NPI 1053417212

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Monterey, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.7 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
16 Specialists

Practicing in Monterey, CA (9612 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A17068

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. George Penn , MD

Pediatrics - Adolescent Medicine

NPI 1003836495

Doctor of Medicine (M.D.)

NPI 1487637260

Doctor of Medicine (M.D.)

Dr. Patricia Ruckle , MD

Pediatrics - Adolescent Medicine

NPI 1538182241

Doctor of Medicine (M.D.)

NPI 1861418386

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated June 26, 2019

Record deactivated on June 26, 2019

NPI Profile Active March 18, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2010

Registered at 1900 GARDEN RD STE 110, MONTEREY, CA 939405334 (Tel: 8313722594)

📍
Updated Business Mailing Address March 18, 2010

Registered at 1900 GARDEN RD STE 110, MONTEREY, CA 939405334 (Tel: 8313722594)

👤
Provider Name / Credentials Updated March 18, 2010

Recorded as ROBERT BLACK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2010

Pediatrics (License #A17068 in CA)

🟢
Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Robert Black. Be the first to share your experience!

Sign in to leave a review for Dr. Robert Black

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1699781922
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: March 18, 2010
Deactivation Date: June 26, 2019

Mailing Address

1900 Garden Rd Ste 110

Monterey, CA 939405334

Phone: 8313722594

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.