Active NPI
Robert James, M.D.
- Urology Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G62449
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ19545Z | Other | CA | BLUE SHIELD |
| 00G624490 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G62449 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | 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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Surgery Physician
- Eureka, CA
- NPI 1477790517
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
dba Sutter Medical Group of the Redwoods
- Otolaryngology Physician
- Sebastopol, CA
- NPI 1750616512
-
- Trauma Surgery Physician
- Santa Rosa, CA
- NPI 1184673162
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.