Jason Lee Roberg, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 13695 Issued in CA

Practice address

4062 Harney St Ste a
San Diego, CA 92110-2828

Phone

(619) 342-8018

Fax

(619) 342-7255

NPI assigned

Jul 28, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jason Lee Rogers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lorena Lee

  • Acupuncturist
  • San Diego, CA
  • NPI 1548663123
  NPD (past)

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1598079857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 HARNEY ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102828",
            "telephone_number": "619-342-8018",
            "fax_number": "619-342-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4062 HARNEY ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102828",
            "telephone_number": "619-342-8018",
            "fax_number": "619-342-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERG",
        "first_name": "JASON",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 13695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "ROGERS",
            "middle_name": "LEE",
            "prefix": "MR.",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Merylee Rose Robbins, LMFT
• Shira L Robbins, M.D.
• Tara Kawn Robbins, M.D.
• Peregrine Nerisa Abling Robel, CCAPP R1403220820
• Echo Roben, LMFT
• Kathleen Roberge, MSN, NP
• Jessica Robershaw
• Floyd E Roberson, M.D.
• Latoya Michaele Roberson, FNP-BC
• Tessa Roberson

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.