NPIMap

Individual provider Active NPI

Dylan Roberg, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Oxnard, CA
National Provider Identifier
1093161903
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5624 Issued in CA
Practice address
451 W Gonzales Rd Ste 260
Oxnard, CA 93036-0729
Phone
(805) 485-6708
Fax
(805) 278-2299
NPI assigned
May 10, 2016
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5624 CA Primary

Addresses

Primary practice location

451 W Gonzales Rd Ste 260
Oxnard, CA 93036-0729

Mailing address

3160 Telegraph Rd
Ste 207
Ventura, CA 93003-3256
Phone (805) 485-6708

Other practice location 1

3160 Telegraph Rd
Ste 207
Ventura, CA 93003-3256
Phone (805) 485-6708

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dylan.roberg@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200417002802 CA Practitioner - Podiatry 5890035406 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of VenturaGroup PAC ID 7911810171, 340 clinicians
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians
Ventura County Podiatric Medical Group IncGroup PAC ID 2769819242, 5 clinicians

Practice addresses (Care Compare)

300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 654-3306

422 Arneill Rd B
Camarillo, CA 93010-6434
Phone (805) 383-4510

451 W Gonzales Rd
Suite 260
Oxnard, CA 93036-0729
Phone (805) 983-0222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue80
Removal of nail tissue111
Removal or shaving of skin growth87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5624CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura County Podiatric Medical Group Inc Foot & Ankle Surgery CurrentSince Jan 26, 2026 Accepting new patients
Community Memorial Health System Current Accepting new patients
Community Memorial Health System CurrentSince Oct 1, 2020 Accepting new patients
Community Memorial Health System CurrentSince Oct 1, 2020 Accepting new patients
County of Ventura CurrentSince Aug 10, 2020 Accepting new patients
County of Ventura CurrentSince Aug 10, 2020 Accepting new patients
Dignity Health Past Accepting new patients

Locations

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

451 W Gonzales Rd
Ste 260
Oxnard, CA 93036
Phone (805) 485-3151

133 W Santa Clara St
Ventura, CA 93001
Phone (805) 641-5600

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

3160 Telegraph Rd
Ste 207
Ventura, CA 93003
Phone (805) 485-6708

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

800 S Victoria Ave
#L4640
Ventura, CA 93009

Organizations & group practices 8

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.

Hospital & facility affiliations 11

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1093161903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 TELEGRAPH RD",
            "address_2": "STE 207",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033256",
            "telephone_number": "805-485-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W GONZALES RD STE 260",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360729",
            "telephone_number": "805-485-6708",
            "fax_number": "805-278-2299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3160 TELEGRAPH RD",
            "address_2": "STE 207",
            "address_purpose": "LOCATION",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033256",
            "country_code": "US",
            "telephone_number": "805-485-6708",
            "fax_number": "805-278-2299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERG",
        "first_name": "DYLAN",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dylan.roberg@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "133 W Santa Clara St",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930012543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.