Active NPI
Karen Jean Roberts, MD
- Family Medicine Physician
- Atascadero, CA
National Provider Identifier
1164581971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G55395
- Practice address
- 9700 El Camino Real
Suite 100
Atascadero, CA 93422-5569 - Phone
- (805) 461-9000
- Fax
- (805) 461-9001
- NPI assigned
- Dec 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G55395 | CA | Primary |
Addresses
Primary practice location
9700 El Camino Real
Suite 100
Atascadero, CA 93422-5569
Mailing address
5855 Capistrano Ave
Ste D
Atascadero, CA 93422-7201
Phone (805) 466-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G55395 | Other | CA | STATE MEDICAL LICENSE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Communities Physician Network, Inc. | Current | Accepting new patients | |
| Bakersfield Family Medical Group Inc | Family Medicine | Past | Accepting new patients |
| Eric Dunlop, DO, Inc. | Family Medicine | Past | Accepting new patients |
Locations
35 Casa St
Ste 170
Sn Luis Obisp, CA 93405
Phone (805) 540-5035
265 Posada Ln
Ste C
Templeton, CA 93465
Phone (805) 239-0644
Interoperability endpoints
- karen.robertsmd.p1@direct.afh.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Health Maintenance Organization
- San Luis Obispo, CA
- NPI 1275735011
-
- Multi-Specialty Clinic/Center
- Bakersfield, CA
- NPI 1013912641
Family Medicine
-
- Family Medicine Physician
- San Luis Obispo, CA
- NPI 1124478243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1164581971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5855 CAPISTRANO AVE",
"address_2": "STE D",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934227201",
"telephone_number": "805-466-5600",
"fax_number": "805-466-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 EL CAMINO REAL",
"address_2": "SUITE 100",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934225569",
"telephone_number": "805-461-9000",
"fax_number": "805-461-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "KAREN",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-07",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G55395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "G55395",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.