Individual provider Active NPI

Robert James Laperriere

  • Dermatology Physician
  • Sacramento, CA
National Provider Identifier
1528786928
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C31244 Issued in CA
Practice address
4020 Ramel Way
Sacramento, CA 95864-6017
Phone
(916) 481-4525
NPI assigned
Aug 22, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X C31244 CA Primary

Addresses

Primary practice location

4020 Ramel Way
Sacramento, CA 95864-6017

Mailing address

PO Box 255345
Sacramento, CA 95865-5345
Phone (916) 481-4525

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address drbob1@surewest.net Direct
Direct Messaging Address drbob1@surewest.net Direct
Direct Messaging Address drbob1@surewest.net Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C31244CAMDDermatology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1528786928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255345",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655345",
            "telephone_number": "916-481-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 RAMEL WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958646017",
            "telephone_number": "916-481-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPERRIERE",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C31244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drbob1@surewest.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4020 Ramel Way",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958646017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drbob1@surewest.net",
            "affiliation": "N",
            "endpointDescription": "direct em",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "4020 Ramel Way",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958646017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drbob1@surewest.net",
            "affiliation": "N",
            "endpointDescription": "text",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "4020 Ramel Way",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958646017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.