Michelle Roberts, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

57933 Issued in CA

Practice address

2317 Via Cascabel
Escondido, CA 92027-4821

Phone

(760) 807-2680

NPI assigned

Apr 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Oc Urgentcare Medical Group Incorporated

  • Urgent Care Clinic/Center
  • Anaheim, CA
  • NPI 1083940597
  NPD

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1154950616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1340",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920331340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 VIA CASCABEL",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920274821",
            "telephone_number": "760-807-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor E Rizzotto, RADT I
• Kyra Robb, PT, DPT
• Robert T. Reichman, M.D.
• Robert V. Reznichek DDS, a Professional Corp.
• John Joseph Roberts, M.D.
• Kaylie Rae Robertson
• Steven Joseph Robidoux, DPT
• Marco Scott Robin, D.O.
• Andrea Renae Robinson, MSN, FNP-BC
• Cierra Robinson

• Physician Assistant in Escondido, CA
• Providers in Escondido, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.