Individual provider Active NPI

Karen Jean Roberts, MD

  • Family Medicine Physician
  • Atascadero, CA
National Provider Identifier
1164581971
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G55395 Issued in CA
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

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G55395OtherCASTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080115000600 CA Practitioner - Family Practice 6709967839 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Communities Physician Network, Inc. CurrentSince Jul 17, 2023 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

  • Direct secure messaging: karen.robertsmd.p1@direct.afh.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.