Organization Active NPI

Keith a. Robertson, M.D. Apc

  • Orthopaedic Surgery Physician
  • Ventura, CA
National Provider Identifier
1639387194
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A70336 Issued in CA
Legal business name
KEITH A. ROBERTSON, M.D. APC
Practice address
168 N Brent St Ste 505
Ventura, CA 93003-2840
Phone
(805) 648-3902
Fax
(805) 648-4014
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Dr. Keith A Robertson, M.D.
Title
Physician
Phone
(805) 648-3902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A70336 CA Primary

Addresses

Primary practice location

168 N Brent St Ste 505
Ventura, CA 93003-2840

Mailing address

168 N Brent St Ste 505
Ventura, CA 93003-2840
Phone (805) 648-3902

Other identifiers 1

IdentifierTypeStateIssuer
00A703360MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1639387194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST STE 505",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032840",
            "telephone_number": "805-648-3902",
            "fax_number": "805-648-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST STE 505",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032840",
            "telephone_number": "805-648-3902",
            "fax_number": "805-648-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A. ROBERTSON, M.D. APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "805-648-3902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A70336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A703360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.