Individual provider Active NPI

Robert James, M.D.

  • Urology Physician
  • Santa Rosa, CA
National Provider Identifier
1558380683
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G62449 Issued in CA
Practice address
1701 4TH St
Suite 200
Santa Rosa, CA 95404-3658
Phone
(707) 525-4051
Fax
(707) 525-1033
NPI assigned
Jul 19, 2006
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G62449 CA Primary

Addresses

Primary practice location

1701 4TH St
Suite 200
Santa Rosa, CA 95404-3658

Mailing address

1701 4TH St
Suite 200
Santa Rosa, CA 95404-3658
Phone (707) 525-4051

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ19545ZOtherCABLUE SHIELD
00G624490MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rjames1657844@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080529000223 CA Practitioner - Urology 3779653068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Michigan Medical School, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 W Ctr St Promenade
Anaheim, CA 92805-3960

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G62449CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Sep 16, 2013 Accepting new patients
Providence Medical Foundation CurrentSince Sep 16, 2013 Accepting new patients
Santa Rosa Trauma Physicians Medical Group Past Accepting new patients
North Coast Faculty Medical Group Inc Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

1701 4th St
Ste 200
Santa Rosa, CA 95404
Phone (707) 525-0100

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

500 Doyle Park Dr
Ste 303
Santa Rosa, CA 95405
Phone (707) 303-8300

510 Doyle Park Dr
Santa Rosa, CA 95405
Phone (707) 303-8360

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1558380683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 4TH ST",
            "address_2": "SUITE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043658",
            "telephone_number": "707-525-4051",
            "fax_number": "707-525-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 4TH ST",
            "address_2": "SUITE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043658",
            "telephone_number": "707-525-4051",
            "fax_number": "707-525-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G62449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ19545Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G624490",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rjames1657844@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "510 Doyle Park Dr",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954054570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.