Active NPI
Christopher Michael Robertson, PA-C
- Physician Assistant
- Banning, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA179855
- 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.
-
- Land Ambulance
- Skagway, AK
- NPI 1437374113
-
- Emergency Medicine Physician
- Glendora, CA
- NPI 1043684764
-
- Emergency Medicine Physician
- Red Bluff, CA
- NPI 1548332307
-
- Multi-Specialty Clinic/Center
- Visalia, CA
- NPI 1356059745
-
- Community/Behavioral Health Agency
- Visalia, CA
- NPI 1447016050
-
- Urgent Care Clinic/Center
- Visalia, CA
- NPI 1568975290
-
- Emergency Medicine Physician
- Barstow, CA
- NPI 1225289135
Physician Assistant
-
- Emergency Medicine Physician
- Barstow, CA
- NPI 1811148729
Physician Assistant
-
- Federally Qualified Health Center (FQHC)
- Skagway, AK
- NPI 1710799028
-
- General Acute Care Hospital
- Gresham, OR
- NPI 1255354700
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
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR, NV, WA, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 5
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 025106 | NY | MD | Clinical Psychologist |
| 228883 | AK | MD | Physician Assistant |
| PA179855 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Municipality of Skagway | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | 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
- chris.robertson.1@15635.direct.athenahealth.com
- crobertson629418@direct.lhs.org
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 228883 | AK | |
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | PA179855 | OR | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1755394 | Medicaid | AK |
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
- Riverside San Bernardino County Indian Health Inc
- Riverside-San Bernardino County Indian Health, Inc
- Riverside-San Bernardino County Indian Health, Inc.
- Leila Roberts
- Madison Roberts
- Francis Anthony Robichaud, C.A.D.C.II C.S.A.C
- Consuelo Rodriguez-Kloncz
- Brenda Rodriguez, MPT
- Katrina Charlene Rodriguez
- Selene Magali Rodriguez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.