Active NPI
Heather J. Roberts, M.D., a Medical Corporation
- Dermatology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G71960
- Legal business name
- HEATHER J. ROBERTS, M.D., A MEDICAL CORPORATION
- Practice address
- 11500 W Olympic Blvd Ste 480
Los Angeles, CA 90064-1678 - Phone
- (310) 477-4727
- Fax
- (310) 477-2001
- NPI assigned
- Jul 18, 2007
- Last updated
- Jul 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather J Roberts, M.D.
- Title
- President
- Phone
- (310) 477-4727
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G71960 | CA | Primary |
Addresses
Primary practice location
11500 W Olympic Blvd Ste 480
Los Angeles, CA 90064-1678
Mailing address
11500 W Olympic Blvd Ste 480
Los Angeles, CA 90064-1678
Phone (310) 477-4727
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0984018 | Heather J Roberts MD, a Medical Corporation | Provider-performed microscopy | Apr 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
11500 W Olympic Blvd
Ste 480
Los Angeles, CA 90064
Phone (310) 477-4727
11600 Wilshire Blvd
Ste 408
Los Angeles, CA 90025
Phone (310) 477-4727
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Los Angeles, CA
- NPI 1629171624
-
- Dermatology Physician
- Mission Hills, CA
- NPI 1851335152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785283200000",
"number": "1285834390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11500 W OLYMPIC BLVD STE 480",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641678",
"telephone_number": "310-477-4727",
"fax_number": "310-477-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 W OLYMPIC BLVD STE 480",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641678",
"telephone_number": "310-477-4727",
"fax_number": "310-477-2001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEATHER J. ROBERTS, M.D., A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-18",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-477-4727",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "CA",
"license": "G71960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Andrew Allan Hebblethwaite, RCP, RRT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.