Heather J Roberts, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G71960 Issued in CA

Practice address

11500 W Olympic Blvd Ste 480
Los Angeles, CA 90064-1678

Phone

(310) 477-4727

Fax

(310) 477-2001

NPI assigned

Sep 6, 2006

Last updated

Jul 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2015 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heather J. Roberts, M.D., a Medical Corporation

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1285834390
  Authorized official Same address or phone
• JCK Medical Corp

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1396321345
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1629171624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 480",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641678",
            "telephone_number": "310-477-4727",
            "fax_number": "310-477-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 480",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641678",
            "telephone_number": "310-477-4727",
            "fax_number": "310-477-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "HEATHER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G71960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Roberts
• Clifford Edward Roberts, LCSW
• Dorinda Mary Roberts, NP
• Eric Roberts, M.D.
• Eryn Marie Roberts
• Jason Trevor Roberts, ATC, CSCS
• John Ewell Roberts, M.D.
• Jordan Roberts
• Justin Scott Roberts, PMHNP-BC
• Kayla Roberts

• Dermatology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.