Active NPI
Steven Edward Roberts, M.D.
- Sports Medicine (Internal Medicine) Physician
- La Quinta, CA
National Provider Identifier
1083772479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- A76574
- Practice address
- 47647 Caleo Bay Dr
Suite 200
La Quinta, CA 92253-8854 - Phone
- (760) 777-8282
- NPI assigned
- Dec 5, 2006
- 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 |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | A76574 | CA | Primary |
Addresses
Primary practice location
47647 Caleo Bay Dr
Suite 200
La Quinta, CA 92253-8854
Mailing address
47647 Caleo Bay Dr
Suite 200
La Quinta, CA 92253-8854
Phone (760) 777-8282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76574 | CA | MD | Sports Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Orthopaedics, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- La Quinta, CA
- NPI 1831364975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1083772479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47647 CALEO BAY DR",
"address_2": "SUITE 200",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922538854",
"telephone_number": "760-777-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47647 CALEO BAY DR",
"address_2": "SUITE 200",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922538854",
"telephone_number": "760-777-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "STEVEN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "CA",
"license": "A76574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Quinta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.