Individual provider Active NPI

Elsie Minna Robertson, M.D.

  • Surgery Physician
  • Laguna Hills, CA
National Provider Identifier
1336671908
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A157907 Issued in CA
Practice address
24411 Health Center Dr Ste 350
Laguna Hills, CA 92653-3687
Phone
(714) 456-5532
NPI assigned
Apr 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A157907 CA Primary

Addresses

Primary practice location

24411 Health Center Dr Ste 350
Laguna Hills, CA 92653-3687

Mailing address

24411 Health Center Dr Ste 350
Laguna Hills, CA 92653-3687

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
I20220815002670 CA Practitioner - General Surgery 2163760679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Tulane University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Orange County Surgical Medical Group IncGroup PAC ID 8426945338, 22 clinicians

Practice addresses (Care Compare)

24411 Health Ctr Dr
Suite 350
Laguna Hills, CA 92653-3687
Phone (949) 457-7900

Hospital & facility affiliations

  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

Merit-based Incentive Payment System (MIPS)

Final score
87.08 of 100Reported as group
Quality
62.67
Promoting interoperability
100
Improvement activities
40
Cost
85.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157907CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Orange County Surgical Medical Group, Inc. Surgery CurrentSince Aug 31, 2022 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

24411 Health Center Dr
Ste 350
Laguna Hills, CA 92653
Phone (949) 457-7900

27799 Medical Center Rd
Ste 440
Mission Viejo, CA 92691
Phone (949) 364-1007

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: erodebeck713077@direct.memorialcare.org
  • Direct secure messaging: elsie.robertson.1@12518.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12518/brand/2/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1336671908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR STE 350",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR STE 350",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533687",
            "telephone_number": "714-456-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ELSIE",
        "middle_name": "MINNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-01",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A157907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.