Individual provider Active NPI

Alison Roberson

  • Chiropractor
  • San Marcos, CA
National Provider Identifier
1538564992
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33103 Issued in CA
Practice address
330 Rancheros Dr Ste 202
San Marcos, CA 92069-2978
Phone
(760) 630-0683
NPI assigned
Oct 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 33103 CA
Sports Physician Chiropractor 111NS0005X 33013 CA
Chiropractor 111N00000X 33103 CA Primary

Addresses

Primary practice location

330 Rancheros Dr Ste 202
San Marcos, CA 92069-2978

Mailing address

330 Rancheros Dr Ste 202
San Marcos, CA 92069-2978
Phone (760) 630-0683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150114001310 CA Practitioner - Chiropractic 8527382803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

330 Rancheros Dr
Suite 202
San Marcos, CA 92069-2978
Phone (760) 630-8060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33103CAMDMental Health Counselor
33013CAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stamos Chiropractic Inc. Chiropractor CurrentSince Feb 19, 2020 Accepting new patients

Locations

330 Rancheros Dr
Ste 202
San Marcos, CA 92069
Phone (760) 630-0683

410 S Melrose Dr
Ste 200
Vista, CA 92081
Phone (760) 630-0683

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1538564992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 RANCHEROS DR STE 202",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692978",
            "telephone_number": "760-630-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 RANCHEROS DR STE 202",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692978",
            "telephone_number": "760-630-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "ALISON",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "33103",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "33013",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.