Active NPI
Jerrick Gene Robker, DO
- Orthopaedic Surgery Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 20A15961
- Practice address
- 4910 Directors PL Ste 350
San Diego, CA 92121-3834 - Phone
- (858) 571-9500
- NPI assigned
- Apr 9, 2016
- Last updated
- Jul 26, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 20A15961 | CA | Primary |
Addresses
Primary practice location
4910 Directors PL Ste 350
San Diego, CA 92121-3834
Mailing address
4910 Directors PL Ste 350
San Diego, CA 92121-3834
Phone (858) 571-9500
Other practice location 1
11139 Anderson St
Loma Linda, CA 92350-3927
Phone (909) 558-8161
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4910 Directors PL
Suite 350
San Diego, CA 92121-3834
Phone (858) 571-9500
5395 Ruffin Rd
Suite 102
San Diego, CA 92123-1338
Phone (858) 598-5291
Hospital & facility affiliations
- Sharp Coronado Hospital and Hlthcr Ctr
- Scripps Memorial Hospital la Jolla
- Scripps Memorial Hospital - Encinitas
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A15961 | CA | MD | Orthopaedic Surgery Physician |
| 15961 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Orthopedic Specialists, Inc. | Current | Accepting new patients | |
| Synergy Orthopedic Specialists, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Health Allies Clinic Inc | Current | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Locations
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118
4445 Eastgate Mall
Ste 105
San Diego, CA 92121
Phone (858) 357-9450
4910 Directors Pl
Ste 350
San Diego, CA 92121
Phone (858) 346-7171
5395 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 569-8959
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jrobker101322@direct.llu.edu
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Plastic Surgery Physician
- San Diego, CA
- NPI 1710652243
-
- Specialist
- San Diego, CA
- NPI 1114282779
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Scripps Memorial Hospital Encinitas
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
dba Sharp Coronado Hospital
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1063876662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 DIRECTORS PL STE 350",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213834",
"telephone_number": "858-571-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 DIRECTORS PL STE 350",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213834",
"telephone_number": "858-571-9500"
}
],
"practiceLocations": [
{
"address_1": "11139 Anderson St",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923503927",
"country_code": "US",
"telephone_number": "909-558-8161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBKER",
"first_name": "JERRICK",
"middle_name": "GENE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-09",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "20A15961",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "10800 Magnolia Ave",
"city": "Riverside",
"state": "CA",
"country_code": "US",
"postal_code": "925053043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.