Active NPI
Dwight L. Roberson, M.D. Inc.
- Plastic Surgery Physician
- Paramount, CA
National Provider Identifier
1508828831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- G32654
- Legal business name
- DWIGHT L. ROBERSON, M.D. INC.
- Practice address
- 16444 Paramount Blvd
Suite #208
Paramount, CA 90723-5422 - Phone
- (562) 790-8545
- Fax
- (562) 790-2433
- NPI assigned
- Apr 3, 2006
- 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
- Mrs. Esther Louise Roberson
- Title
- Office Manager
- Phone
- (562) 790-8545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | G32654 | CA | Primary |
Addresses
Primary practice location
16444 Paramount Blvd
Suite #208
Paramount, CA 90723-5422
Mailing address
16444 Paramount Blvd
Suite #208
Paramount, CA 90723-5422
Phone (562) 790-8545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0G3265400 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
16444 Paramount Blvd
Ste 208
Paramount, CA 90723
Phone (562) 790-8545
4315 Houma Blvd
Ste 305
Metairie, LA 70006
Phone (504) 455-4622
Practitioners & affiliated clinicians
Practitioners 13
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508828831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16444 PARAMOUNT BLVD",
"address_2": "SUITE #208",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907235422",
"telephone_number": "562-790-8545",
"fax_number": "562-790-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16444 PARAMOUNT BLVD",
"address_2": "SUITE #208",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907235422",
"telephone_number": "562-790-8545",
"fax_number": "562-790-2433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DWIGHT L. ROBERSON, M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROBERSON",
"authorized_official_first_name": "ESTHER",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "562-790-8545",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "CA",
"license": "G32654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0G3265400",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paramount, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.