Active NPI
Janet Lee Roberts, M.D.
- Family Medicine Physician
- Bermuda Dunes, CA
National Provider Identifier
1285722165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD446063
- Practice address
- 43541 Old Barbour Drive
Bermuda Dunes, CA 92203-1626 - Phone
- (281) 787-8366
- Fax
- (412) 234-5500
- NPI assigned
- Oct 10, 2006
- Last updated
- Dec 20, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K0174 | TX | |
| Family Medicine Physician | 207Q00000X | MD446063 | PA | Primary |
Addresses
Primary practice location
43541 Old Barbour Drive
Bermuda Dunes, CA 92203-1626
Mailing address
43541 Old Barbour Drive
Bermuda Dunes, CA 92203-1626
Phone (281) 787-8366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD446063 | PA | MD | Family Medicine Physician |
| K0174 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sadler Clinic Association | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1285722165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43541 OLD BARBOUR DRIVE",
"city": "BERMUDA DUNES",
"state": "CA",
"postal_code": "922031626",
"telephone_number": "281-787-8366",
"fax_number": "412-234-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43541 OLD BARBOUR DRIVE",
"city": "BERMUDA DUNES",
"state": "CA",
"postal_code": "922031626",
"telephone_number": "281-787-8366",
"fax_number": "412-234-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JANET",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K0174",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD446063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bermuda Dunes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.