Individual provider Active NPI

Robert Carter Clements, MD

  • Emergency Medicine Physician
  • Chico, CA
National Provider Identifier
1639143472
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A41716 Issued in CA
Practice address
1459 Humboldt Rd Ste a
Chico, CA 95928-9100
Phone
(530) 855-0213
Fax
(530) 466-3741
NPI assigned
Feb 16, 2006
Last updated
May 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A41716 CA Primary
General Practice Physician 208D00000X A41716 CA

Addresses

Primary practice location

1459 Humboldt Rd Ste a
Chico, CA 95928-9100

Mailing address

1459 Humboldt Rd Ste a
Chico, CA 95928-9100
Phone (530) 855-0213

Other practice location 1

1580 Valencia St Ste 201
San Francisco, CA 94110-4420
Phone (415) 550-0811

Other practice location 2

3117 Teigland Rd
Lafayette, CA 94549-2014
Phone (510) 604-0018

Other identifiers 1

IdentifierTypeStateIssuer
00A417160MedicaidCA

Other names 1

  • Dr. R Carter Clements Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.phoenixnestproject.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080707000708 CA Practitioner - Emergency Medicine 3274605381 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A41716CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Big River Emergency Physicians Inc Emergency Medicine CurrentSince Apr 2, 2016 Accepting new patients
My Health Medical Group Inc Past Accepting new patients
Alameda Health System Past Accepting new patients

Locations

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

Interoperability endpoints

  • Direct secure messaging: robert.clements.1@24668.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1639143472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 HUMBOLDT RD STE A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289100",
            "telephone_number": "530-855-0213",
            "fax_number": "530-466-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 HUMBOLDT RD STE A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289100",
            "telephone_number": "530-855-0213",
            "fax_number": "530-466-3741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 Valencia St Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941104420",
            "country_code": "US",
            "telephone_number": "415-550-0811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3117 Teigland Rd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CA",
            "postal_code": "945492014",
            "country_code": "US",
            "telephone_number": "510-604-0018",
            "fax_number": "530-466-3741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "ROBERT",
        "middle_name": "CARTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A41716",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A41716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A417160",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.phoenixnestproject.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "1459 Humboldt Rd Ste A",
            "city": "Chico",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959289100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "R",
            "last_name": "CLEMENTS",
            "middle_name": "CARTER",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.