Individual provider Active NPI

Marlene E Roberts, PHD, FNP

  • Family Nurse Practitioner
  • Solvang, CA
National Provider Identifier
1255895686
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09181574 Issued in CA
Practice address
2027 Village LN Ste 102
Solvang, CA 93463-2271
Phone
(805) 681-7700
NPI assigned
Jan 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F09181574 CA
Family Nurse Practitioner 363LF0000X F09181574 CA Primary

Addresses

Primary practice location

2027 Village LN Ste 102
Solvang, CA 93463-2271

Mailing address

200 41St St
Manhattan Beach, CA 90266-3141
Phone (805) 453-2444

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190725003931 CA Practitioner - Nurse Practitioner 4082940226 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
F09181574CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Jun 27, 2022 Accepting new patients
Sansum Clinic Current Accepting new patients
Hope Valley Health CurrentSince Jul 1, 2024 Accepting new patients
Sansum Clinic CurrentSince Jun 27, 2022 Accepting new patients
Zugan Health Medical Corporation Family Medicine CurrentSince Dec 29, 2022 Accepting new patients
Sansum Clinic Past Accepting new patients
Lompoc Valley Medical Center Past Accepting new patients

Locations

195 W Highway 246
Buellton, CA 93427
Phone (805) 686-8555

35280 Bob Hope Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 350-2498

1100 Chapala St
Santa Barbara, CA 93101
Phone (805) 395-4946

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

361 Town Ctr E
Ste 101
Santa Maria, CA 93458
Phone (706) 350-2498

2027 Village Ln
Ste 102
Solvang, CA 93463
Phone (805) 681-7700

Organizations & group practices 7

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255895686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 41ST ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663141",
            "telephone_number": "805-453-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 VILLAGE LN STE 102",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632271",
            "telephone_number": "805-681-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MARLENE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "F09181574",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F09181574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solvang, CA

Sources for this page

Verify at the official NPI Registry.