Jay D Roberts, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

C40665 Issued in CA

Practice address

77920 Country Club Dr
Suite 6-1
Palm Desert, CA 92211-3406

Phone

(760) 200-3336

Fax

(760) 200-0026

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1003874108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77920 COUNTRY CLUB DR",
            "address_2": "SUITE 6-1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922113406",
            "telephone_number": "760-200-3336",
            "fax_number": "760-200-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77920 COUNTRY CLUB DR",
            "address_2": "SUITE 6-1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922113406",
            "telephone_number": "760-200-3336",
            "fax_number": "760-200-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JAY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "C40665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00C406650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Matthew Roalofs
• Robert & Rowley McLachlan DDS Inc
• Robert F Steinberg, M.D. a Medical Corporation
• Robert G Czako, M.D., Inc. (Stat Urgent Care Medical Group)
• Robert L. Langford,Dba Desert Cities Therapy Center
• Mary Robertson
• Brian D Robins, M.D.
• Jacob Robinson, P.T., DPT
• Adrian Mauro Robles, PT, DPT
• Taylor Robles, OTD, OTR/L

• Physical Medicine & Rehabilitation Physician in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.