Active NPI
Lawrence Roberts, M.D.
- Trauma Surgery Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 21500
- Practice address
- 7930 Frost St Ste 204
San Diego, CA 92123-2739 - Phone
- (858) 939-3200
- Fax
- (858) 939-3213
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | 21500 | WV | Primary |
Addresses
Primary practice location
7930 Frost St Ste 204
San Diego, CA 92123-2739
Mailing address
7930 Frost St Ste 204
San Diego, CA 92123-2739
Phone (858) 939-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3000211000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, CA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- George Washington University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 239-1720
Hospital & facility affiliations
- Portneuf Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Enloe Medical Center | Surgery | Current | Accepting new patients |
| Abc Trauma, Inc. | Trauma Surgery | Current | Accepting new patients |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Idahosurgeons Net PC | Trauma Surgery | Current | Accepting new patients |
| Pocatello Hospital LLC | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Enloe Medical Center | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| West Virginia University Hospitals, Inc. | Past | Accepting new patients | |
| Lander Valley Physician Practices, LLC | Past | Accepting new patients | |
| Mary Washington Healthcare Physicians | Past | Accepting new patients | |
| Enloe Medical Center | Past | Accepting new patients | |
| Mary Washington Hospital, Inc. | Surgery | Past | Accepting new patients |
Locations
1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
7930 Frost St
Ste 204
San Diego, CA 92123
Phone (858) 565-0104
777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000
777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640
777 Hospital Way
Ste 201
Pocatello, ID 83201
Phone (208) 239-2260
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- qwu8021@yourcarecommunity.org
- lroberts52213@enloedirect.org
- lroberts1160862@ahs.direct-ci.com
Organizations & group practices 16
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.
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1689802852
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Surgery Physician
- Chico, CA
- NPI 1477975613
-
- Trauma Surgery Physician
- San Diego, CA
- NPI 1285266353
-
- Community/Retail Pharmacy
- Chico, CA
- NPI 1912949538
-
- Trauma Surgery Physician
- San Diego, CA
- NPI 1295237022
-
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
- Durable Medical Equipment & Medical Supplies
- Pocatello, ID
- NPI 1154089126
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1215165485
-
- Internal Medicine Physician
- Pocatello, ID
- NPI 1760610935
-
- Cardiovascular Disease Physician
- Chico, CA
- NPI 1720099328
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1598863193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7930 FROST ST STE 204",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232739",
"telephone_number": "858-939-3200",
"fax_number": "858-939-9213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7930 FROST ST STE 204",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232739",
"telephone_number": "858-939-3200",
"fax_number": "858-939-3213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "WV",
"license": "21500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3000211000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.