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Deactivated NPI 1295769255 Deactivated / Inactive NPI Male Practitioner

Dr. Maynard Burr Rotermund , MD

Specialist • Walnut Creek, 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. Maynard Rotermund has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 10, 2006
NPI Deactivation Date March 19, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Maynard Rotermund, MD was a registered Specialist practicing in Walnut Creek, CA. Throughout an active medical career spanning 20 years, Dr. Rotermund provided care at the practice location at 112 LA CASA VIA STE 200 until profile deactivation on 2026-03-19.

Practice Location & Contact Primary Location

Practice Address

112 La Casa Via Ste 200

Walnut Creek, CA 945983011

Telephone 9259334747
Fax 9259331638
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Walnut Creek, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.3 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
55 Specialists

Practicing in Walnut Creek, CA (6446 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA G3944

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

14 Associated Practitioners
Dr. Nadine Hanna , MD

Obstetrics & Gynecology

NPI 1043244007

Doctor of Medicine (M.D.)

Dr. Luman Hughes , MD

Obstetrics & Gynecology

NPI 1124040274

Doctor of Medicine (M.D.)

NPI 1215959366

Doctor of Medicine (M.D.)

Dr. Gerald Katz , MD

Obstetrics & Gynecology

NPI 1306868450

Doctor of Medicine (M.D.)

Patricia Geraghty , NP

Nurse Practitioner - Women's Health

NPI 1316067952

Nurse Practitioner

Judith Jones , NP

Nurse Practitioner - Women's Health

NPI 1346361060

Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
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NPI Profile Deactivated March 19, 2026

Record deactivated on March 19, 2026

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Updated Practice Location October 15, 2025

Registered at 210 DOVER DRIVE, WALNUT CREEK, CA 94598 (Tel: 9257874110)

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Updated Business Mailing Address October 15, 2025

Registered at 210 DOVER DRIVE, WALNUT CREEK, CA 94598 (Tel: 9257874110)

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Provider Name / Credentials Updated October 15, 2025

Recorded as MAYNARD ROTERMUND, MD

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 112 LA CASA VIA STE 200, WALNUT CREEK, CA 945983011 (Tel: 9259334747)

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Updated Business Mailing Address July 08, 2007

Registered at 112 LA CASA VIA STE 200, WALNUT CREEK, CA 945983011 (Tel: 9259334747)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MAYNARD ROTERMUND, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #G3944 in CA)

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Initial NPI Registration & Enumeration July 10, 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: 1295769255
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2006
Last Update: July 08, 2007
Deactivation Date: March 19, 2026

Mailing Address

112 La Casa Via Ste 200

Walnut Creek, CA 945983011

Phone: 9259334747

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.