Brian Arthur Robertson, MS, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA19914 Issued in CA

Practice address

2776 N Garey Ave
Pomona, CA 91767-1810

Phone

(909) 593-7437

Fax

(909) 593-1958

NPI assigned

Oct 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJECCA

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.

• Garey Orthopedic Medical Group

  • Orthopaedic Surgery Physician
  • Pomona, CA
  • NPI 1346299211

  Physician Assistant

  Medicare reassignment NPD
• Centennial Medical Group North, LLC

  • Orthopaedic Surgery Physician
  • Roseburg, OR
  • NPI 1063722262
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1124270277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671810",
            "telephone_number": "909-593-7437",
            "fax_number": "909-593-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 N GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671810",
            "telephone_number": "909-593-7437",
            "fax_number": "909-593-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "BRIAN",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA151001",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Briana Roberson
• Robert Busuttil
• Nmesoma Deborah Robert
• Roberts Group Home Inc
• Laura Roberts
• Samantha Robertson
• Akiah Tenee Robinson Selwa, LMFT
• Alexandria Robinson
• Brooke Sierra Robinson
• Crystal Robinson, PT

• Medical Physician Assistant in Pomona, CA
• Providers in Pomona, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.