Provider Demographics
NPI:1528099439
Name:ROLFES, RICHARD HELMUT (DPM)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:HELMUT
Last Name:ROLFES
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:595 BUCKINGHAM WAY
Mailing Address - Street 2:STE 330
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-1909
Mailing Address - Country:US
Mailing Address - Phone:415-731-6700
Mailing Address - Fax:415-759-8637
Practice Address - Street 1:595 BUCKINGHAM WAY
Practice Address - Street 2:STE 330
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132-1909
Practice Address - Country:US
Practice Address - Phone:415-731-6700
Practice Address - Fax:415-759-8637
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3303213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T11622Medicare UPIN
CA0919140001Medicare NSC
CA000E33030Medicare PIN