NPIMap

Individual provider Active NPI

John William Roberts, M.D.

  • Family Medicine Physician
  • Danville, CA
National Provider Identifier
1700856978
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G53582 Issued in CA
Practice address
4165 Blackhawk Plaza Cir
# 100
Danville, CA 94506-4904
Phone
(925) 736-7070
Fax
(925) 736-7075
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G53582 CA Primary

Addresses

Primary practice location

4165 Blackhawk Plaza Cir
# 100
Danville, CA 94506-4904

Mailing address

4165 Blackhawk Plaza Cir
# 100
Danville, CA 94506-4904
Phone (925) 736-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414000835 CA Practitioner - Family Practice 5799779914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512

3424 Camino Tassajara
Danville, CA 94506-4680
Phone (925) 309-2700

365 Lennon LN
Walnut Creek, CA 94598-5915

4165 Blackhawk Plaza Cir
Suite 100
Danville, CA 94506-4691
Phone (925) 736-7070

Hospital & facility affiliations

  • John Muir Home Health Services Home health agency, Concord, CA, CCN 057276
  • Prohealth Home Care, Inc Home health agency, Stockton, CA, CCN 059612
  • One Health Home Care, Inc Home health agency, Livermore, CA, CCN 559096
  • American Home Health Care, LLC Home health agency, Dublin, CA, CCN 059145
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • San Ramon Regional Medical Center Hospital, San Ramon, CA, CCN 050689
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions66
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53582CAMDGeneral Practice Dentistry
G53582CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jan 1, 2016 Accepting new patients
Bass Medical Group Family Medicine Current Accepting new patients
Bass Medical Group CurrentSince Jan 1, 2016 Accepting new patients
John Muir Health Past Accepting new patients
Bass Medical Group Past Accepting new patients
Penscott Medical Corporation Family Medicine Past Accepting new patients
John Muir Health Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

4165 Blackhawk Plaza Cir
Ste 100
Danville, CA 94506
Phone (925) 736-7070

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Interoperability endpoints

  • Direct secure messaging: jroberts47180@ehr.johnmuirhealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1700856978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 BLACKHAWK PLAZA CIR",
            "address_2": "# 100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064904",
            "telephone_number": "925-736-7070",
            "fax_number": "925-736-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 BLACKHAWK PLAZA CIR",
            "address_2": "# 100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064904",
            "telephone_number": "925-736-7070",
            "fax_number": "925-736-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G53582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.