Individual provider Active NPI

Christopher Michael Robertson, PA-C

  • Physician Assistant
  • Banning, CA
National Provider Identifier
1407189145
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA179855 Issued in OR
Practice address
600 N Highland Springs Ave
Emergency Department
Banning, CA 92220-3046
Phone
(951) 769-2121
NPI assigned
Sep 14, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 17

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Municipality of Skagway 12 clinicians

Practice addresses (Care Compare)

350 14TH Ave
Skagway, AK 99840-0537
Phone (907) 983-2255

PO Box
Skagway, AK 99840

Hospital & facility affiliations

  • Bartlett Regional Hospital Hospital, Juneau, AK, CCN 020008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR, NV, WA, AK5 enrollments
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.

Medicare enrollment records 5

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20091023000480 CA Practitioner - Physician Assistant 4587686951 Reassigns benefits to 4 organizations
I20180115000617 OR Practitioner - Physician Assistant 4587686951 Reassigns benefits to 1 organization
I20190319001805 NV Practitioner - Physician Assistant 4587686951 Reassigns benefits to 1 organization
I20210928003543 WA Practitioner - Physician Assistant 4587686951 Reassigns benefits to 1 organization
I20250613003421 AK Practitioner - Physician Assistant 4587686951 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
025106NYMDClinical Psychologist
228883AKMDPhysician Assistant
PA179855ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District CurrentSince Feb 1, 2017 Accepting new patients
Municipality of Skagway CurrentSince May 8, 2025 Accepting new patients
Cep America - California CurrentSince Feb 20, 2013 Accepting new patients
Kaweah Delta Health Care District CurrentSince Feb 1, 2017 Accepting new patients
Kaweah Delta Health Care District CurrentSince Feb 1, 2017 Accepting new patients
Cep America - California CurrentSince Aug 1, 2012 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 22, 2021 Accepting new patients
Rainbow Basin Emergency Physicians, a Medical Corporation Physician Assistant Past Accepting new patients
Legacy Mount Hood Medical Center Past Accepting new patients
Premier Emergency Physicians of California Medical Group PC Physician Assistant Past Accepting new patients
Dahl Memorial Clinic, Inc Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1633 S Court St
Visalia, CA 93277
Phone (559) 624-6090

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

305 SE Chkalov Dr
Ste 170
Vancouver, WA 98683
Phone (360) 799-3912

200 NE Mother Joseph Pl
Ste 410
Vancouver, WA 98664
Phone (503) 413-3580

Interoperability endpoints

  • Direct secure messaging: chris.robertson.1@15635.direct.athenahealth.com
  • Direct secure messaging: crobertson629418@direct.lhs.org

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 228883 AK
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X PA179855 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

600 N Highland Springs Ave
Emergency Department
Banning, CA 92220-3046

Mailing address

34487 Marr Dr
Beaumont, CA 92223-7453
Phone (951) 751-7933

Other practice location 1

350 14th Ave
Skagway, AK 99840-0537
Phone (907) 983-2255

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1755394MedicaidAK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2025.

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1407189145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34487 MARR DR",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922237453",
            "telephone_number": "951-751-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N HIGHLAND SPRINGS AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203046",
            "telephone_number": "951-769-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Skagway",
            "state": "AK",
            "postal_code": "998400537",
            "country_code": "US",
            "telephone_number": "907-983-2255",
            "fax_number": "907-983-2793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "228883",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA179855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1755394",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Banning, CA

Sources for this page

Verify at the official NPI Registry.