Active NPI
Keith a. Robertson, M.D. Apc
- Orthopaedic Surgery Physician
- Ventura, CA
National Provider Identifier
1639387194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A70336
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A703360 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Ventura, CA
- NPI 1649436577
-
- Physician Assistant
- Ventura, CA
- NPI 1639115835
-
- Family Medicine Physician
- Ventura, CA
- NPI 1306991930
-
- Pediatrics Physician
- Ventura, CA
- NPI 1104971746
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.