Craig M Roberts, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

E3803 Issued in CA

Practice address

2678 E Florence Ave
Huntington Park, CA 90255-4708

Phone

(323) 587-3011

Fax

(323) 587-0309

NPI assigned

Jul 6, 2006

Last updated

Jun 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey Demian IncGroup PAC ID 4880944339, 27 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Jeffrey Demian Inc

  dba Anywhere Foot and Ankle Care

  • Foot & Ankle Surgery Podiatrist
  • Torrance, CA
  • NPI 1306339759
  Medicare reassignment Care Compare group NPD
• Convalescent Podiatry Care a Professional Corporation

  dba Convalescent Podiatry Care

  • Podiatrist
  • Lakewood, CA
  • NPI 1306606579
  Medicare reassignment NPD
• Pacific Health Medical Group

  • Adolescent and Children Mental Health Clinic/Center
  • Glendale, CA
  • NPI 1902209992
  Medicare reassignment NPD
• Jooyoung Han, DPM

  • Podiatrist
  • Lakewood, CA
  • NPI 1023540325
  Medicare reassignment

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1720010556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 BALBOA BLVD",
            "address_2": "L3",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162702",
            "telephone_number": "323-587-3011",
            "fax_number": "323-587-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2678 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554708",
            "telephone_number": "323-587-3011",
            "fax_number": "323-587-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CRAIG",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E3803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38032",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erick Giovanni Rivas
• Jose L Rivas, MD
• Daisy Rivera
• Gina Rivera
• Alicia Rizkalla, RN
• Olivia Marie Robertson
• Yessenia Rocha- Lopez, LCSW74616
• Oscar Alejandro Rodriguez Calderon
• Arturo Rodriguez Sr., PA
• Elena Rodriguez

• Foot Surgery Podiatrist in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Foot Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.