Individual provider Active NPI

Wendy Eileen Roberts, M.D.

  • Dermatology Physician
  • Rancho Mirage, CA
National Provider Identifier
1689663635
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G57257 Issued in CA
Practice address
39700 Bob Hope Dr
Suite 115
Rancho Mirage, CA 92270-3267
Phone
(760) 346-4262
Fax
(760) 340-9892
NPI assigned
Oct 20, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G57257 CA Primary
Dermatopathology Physician 207ND0900X G57257 CA

Addresses

Primary practice location

39700 Bob Hope Dr
Suite 115
Rancho Mirage, CA 92270-3267

Mailing address

39700 Bob Hope Dr
Suite 115
Rancho Mirage, CA 92270-3267
Phone (760) 346-4262

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
I20051115001092 CA Practitioner - Dermatology 8123046984 Reassigns benefits to 1 organization
Practice locations: Rancho Mirage, CA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Stanford University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Dermatology, Inc.Group PAC ID 1850395070, 27 clinicians

Practice addresses (Care Compare)

24012 Calle de la Plata
Suite 200
Laguna Hills, CA 92653-7624
Phone (626) 914-3675

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.66 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision34
Removal of tissue1-10
Removal of skin lesions453
Skin biopsy351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G57257CAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy E Roberts Inc Dermatology Current Accepting new patients
Island Dermatology, Inc Dermatology CurrentSince Aug 1, 2024 Accepting new patients
Hai Tran, M.D., Inc. Dermatology Current Accepting new patients
Desert Dermatology Medical Assoiates Inc PastSince Jan 1, 2004 Accepting new patients

Locations

210 S Grand Ave
Ste 208
Glendora, CA 91741
Phone (626) 914-3675

24012 Calle de la Plata
Ste 135
Laguna Hills, CA 92653
Phone (949) 768-9495

24012 Calle de la Plata
Ste 200
Laguna Hills, CA 92653
Phone (714) 904-2918

360 San Miguel Dr
Ste 501
Newport Beach, CA 92660
Phone (949) 644-1025

35280 Bob Hope Dr
Ste 105
Rancho Mirage, CA 92270
Phone (760) 346-4262

12611 Hesperia Rd
Ste A
Victorville, CA 92395
Phone (442) 255-4130

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1689663635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39700 BOB HOPE DR",
            "address_2": "SUITE 115",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703267",
            "telephone_number": "760-346-4262",
            "fax_number": "760-340-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39700 BOB HOPE DR",
            "address_2": "SUITE 115",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703267",
            "telephone_number": "760-346-4262",
            "fax_number": "760-340-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "WENDY",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2025-09-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G57257",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G57257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.