Individual provider Active NPI

Lawrence Roberts, M.D.

  • Trauma Surgery Physician
  • San Diego, CA
National Provider Identifier
1598863193
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
21500 Issued in WV
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

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3000211000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CA, ID3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150113000184 NC Practitioner - General Surgery 9234116823
I20191121000823 CA Practitioner - General Surgery 9234116823 Reassigns benefits to 2 organizations
Practice locations: San Diego, CA
I20241029001556 ID Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 9234116823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
George Washington University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pocatello Health Services LLCGroup PAC ID 6608927637, 171 clinicians

Practice addresses (Care Compare)

777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 239-1720

Hospital & facility affiliations

  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Enloe Medical Center Surgery CurrentSince Feb 29, 2020 Accepting new patients
Abc Trauma, Inc. Trauma Surgery CurrentSince Mar 1, 2020 Accepting new patients
Pocatello Health Services, LLC CurrentSince Oct 7, 2024 Accepting new patients
Idahosurgeons Net PC Trauma Surgery CurrentSince Mar 1, 2020 Accepting new patients
Pocatello Hospital LLC Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 13, 2019 Accepting new patients
Pocatello Health Services, LLC Current Accepting new patients
Enloe Medical Center CurrentSince Feb 29, 2020 Accepting new patients
Pocatello Health Services, LLC CurrentSince Oct 7, 2024 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 PastSince Aug 1, 2011 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

  • Direct secure messaging: qwu8021@yourcarecommunity.org
  • Direct secure messaging: lroberts52213@enloedirect.org
  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.