Active NPI
Joel Roberts, PA-S
- Physician Assistant
- Temecula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 30589 Temecula Pkwy
Temecula, CA 92592-2840 - Phone
- (951) 412-1540
- Fax
- (951) 412-1541
- NPI assigned
- Jun 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
30589 Temecula Pkwy
Temecula, CA 92592-2840
Mailing address
PO Box 16297
Beverly Hills, CA 90209-2297
Phone (661) 388-5240
Other practice location 1
650 E Parkway S
Memphis, TN 38104-5568
Phone (901) 321-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30589 Temecula Pkwy
Temecula, CA 92592-2840
Phone (951) 412-1540
40663 Murrieta Hot Springs Rd
Suite C3
Murrieta, CA 92562-9015
Phone (951) 677-5341
621 W Line St
Suite 105
Bishop, CA 93514-3320
Phone (760) 873-8781
74320 Hwy 111
Suite 100
Palm Desert, CA 92260-4140
Phone (760) 423-5610
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.69 of 100
- Quality
- 91.59
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 76.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Laser Center PC, a Professional Medical Corporation | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jroberts@lalasercenter.emadirect.md
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- San Clemente, CA
- NPI 1306982855
-
- Non-Pharmacy Dispensing Site
- Turlock, CA
- NPI 1356974059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1013649797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16297",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902092297",
"telephone_number": "661-388-5240",
"fax_number": "424-458-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30589 TEMECULA PKWY",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925922840",
"telephone_number": "951-412-1540",
"fax_number": "951-412-1541"
}
],
"practiceLocations": [
{
"address_1": "650 E Parkway S",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381045568",
"country_code": "US",
"telephone_number": "901-321-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "JOEL",
"credential": "PA-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-30",
"last_updated": "2023-11-02",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.