Individual provider Active NPI

Jason Dale Roberts, MD

  • Diagnostic Radiology Physician
  • Fresno, CA
National Provider Identifier
1508845579
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A95372 Issued in CA
Practice address
1867 E Fir Ave
Suite 101
Fresno, CA 93720-3841
Phone
(559) 325-5800
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 94800 FL
Diagnostic Radiology Physician 2085R0202X A95372 CA Primary

Addresses

Primary practice location

1867 E Fir Ave
Suite 101
Fresno, CA 93720-3841

Mailing address

1867 E Fir Ave
Suite 104
Fresno, CA 93720-3841
Phone (559) 325-5800

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
I20070404000149 CA Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 9638192933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians
California Imaging Institute Medical Group IncGroup PAC ID 1951325299, 35 clinicians

Practice addresses (Care Compare)

1827 E Fir Ave
Suite 101
Fresno, CA 93720-3860
Phone (559) 256-1975

1867 E Fir Ave
Suite 101
Fresno, CA 93720-3808
Phone (559) 325-5800

Hospital & facility affiliations

  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • Adventist Health Tulare Hospital, Tulare, CA, CCN 050784

Merit-based Incentive Payment System (MIPS)

Final score
75.79 of 100Reported as group
Quality
66.31
Improvement activities
40
Cost
74.14

Merit-based Incentive Payment System (MIPS)

Final score
84.42 of 100Reported as group
Quality
71.24
Improvement activities
40
Cost
75.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A95372CAMDDiagnostic Radiology Physician
94800FLMDDiagnostic Radiology Physician
95372CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Imaging Institute Medical Group Inc CurrentSince Dec 1, 2006 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Medical Imaging Professionals PA Diagnostic Radiology Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

570 N Magnolia Ave
Ste 103
Clovis, CA 93611
Phone (559) 447-4000

729 N Medical Center Dr W
Ste 109
Clovis, CA 93611
Phone (559) 324-6810

1867 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 325-5800

1867 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 325-5800

6297 N Fresno St
Fresno, CA 93710
Phone (559) 447-4000

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

6771 N Palm Ave
Fresno, CA 93704
Phone (559) 451-2203

1827 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 297-9002

15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000

Organizations & group practices 4

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 5

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1508845579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 E FIR AVE",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203841",
            "telephone_number": "559-325-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 E FIR AVE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203841",
            "telephone_number": "559-325-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JASON",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "94800",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A95372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.