Individual provider Active NPI

Dustin Ray Roberie, D.O.

  • Diagnostic Radiology Physician
  • San Francisco, CA
National Provider Identifier
1033520655
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
24694 Issued in CA
Practice address
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone
(415) 476-1537
Fax
(415) 476-0616
NPI assigned
May 16, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OP61046573 WA
Diagnostic Radiology Physician 2085R0202X 24694 CA Primary
Diagnostic Radiology Physician 2085R0202X 1477 NE

Addresses

Primary practice location

505 Parnassus Ave
San Francisco, CA 94143-2204

Mailing address

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001

Other practice location 1

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Other practice location 2

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-2474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, WA, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230328001023 HI Practitioner - Diagnostic Radiology 3971933870 Reassigns benefits to 7 organizations
I20250827002891 WA Practitioner - Diagnostic Radiology 3971933870 Reassigns benefits to 12 organizations
I20251201001306 CA Practitioner - Diagnostic Radiology 3971933870 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians
Tower Imaging Medical Associates IncGroup PAC ID 2163608688, 93 clinicians

Practice addresses (Care Compare)

Bainbridge Island, WA 98110
Phone (425) 563-1500

46 -393 Hololio St
Kaneohe, HI 96744-4223
Phone (425) 563-1500

500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-3700

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

91 -1191 Waiemi St
Ewa Beach, HI 96706-6512
Phone (323) 549-3030

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24694CAMDDiagnostic Radiology Physician
OP61046573WAMDDiagnostic Radiology Physician
1477NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Okanogan County Public Hospital Dist No 4 CurrentSince Sep 2, 2025 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Aug 12, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 19, 2026 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Aug 12, 2025 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Jul 1, 2025 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jun 24, 2025 Accepting new patients
Tower Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Nov 1, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 19, 2026 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Central Washington Health Services Association CurrentSince Jul 1, 2025 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Apr 19, 2023 Accepting new patients
County of Santa Clara Current Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jun 25, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Sep 2, 2025 Accepting new patients
County of Santa Clara CurrentSince Nov 1, 2025 Accepting new patients
University of California San Francisco CurrentSince Jan 19, 2026 Accepting new patients
University of California San Francisco CurrentSince Jan 19, 2026 Accepting new patients
Norcal Healthconnect LLC Past Accepting new patients
Children'S Hospital Los Angeles Past Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

810 Jasmine St
Omak, WA 98841
Phone (509) 826-1760

9801 Frontier Ave SE
Snoqualmie, WA 98065
Phone (425) 831-2300

203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1033520655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-476-1537",
            "fax_number": "415-476-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Jarrett White Rd",
            "address_purpose": "LOCATION",
            "city": "Tripler Army Medical Center",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "808-433-2474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERIE",
        "first_name": "DUSTIN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-16",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "OP61046573",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "24694",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "1477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.