Active NPI
James Robertson, M.D.
- Specialist
- Santa Rosa, CA
National Provider Identifier
1497706741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G41677
- Practice address
- 2301 Circadian Way
Suite a
Santa Rosa, CA 95407-5416 - Phone
- (707) 526-2027
- Fax
- (707) 526-2096
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G41677 | CA | Primary |
Addresses
Primary practice location
2301 Circadian Way
Suite a
Santa Rosa, CA 95407-5416
Mailing address
2301 Circadian Way
Suite a
Santa Rosa, CA 95407-5416
Phone (707) 526-2027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G416770 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G41677 | CA | MD | Specialist |
| 41677 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1497706741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 CIRCADIAN WAY",
"address_2": "SUITE A",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954075416",
"telephone_number": "707-526-2027",
"fax_number": "707-526-2096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 CIRCADIAN WAY",
"address_2": "SUITE A",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954075416",
"telephone_number": "707-526-2027",
"fax_number": "707-526-2096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G41677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G416770",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.