Jeffrey N. Roberts MD a Medical Corporation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

JEFFREY N. ROBERTS MD A MEDICAL CORPORATION

Practice address

400 N Pepper Ave
Colton, CA 92324-1801

Phone

(909) 223-0338

Fax

(909) 580-1440

NPI assigned

May 12, 2020

Last updated

Dec 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Neil Roberts, MDNPI 1225145915

Title

President

Phone

(909) 223-0338

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Roberts, MD

  • Otolaryngology Physician
  • Colton, CA
  • NPI 1225145915
  Medicare reassignment NPD Authorized official
• Carolyn M Doherty, MD

  • Otolaryngology Physician
  • Colton, CA
  • NPI 1003862350
  Medicare reassignment NPD

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1780206813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 VISTA CT",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602495",
            "telephone_number": "909-223-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-223-0338",
            "fax_number": "909-580-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY N. ROBERTS MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-223-0338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hripsime Rita Jaratanyan, MD
• Ruchi Jariwala, MD
• Fargol Javaherian, MD
• Jeannie H. Chau's Rainbow Chiropractic, Inc. (Rainbow Chiropractic)
• Jeffrey Dharmawan DDS.Inc (none)
• Phoebe Jen, DO
• Brandina Gabrielle Jensen, RN
• Jennifer Lynn Jensen, PA-C
• Yeong Je Jeong, MD
• Brenda Jerez-Aguilar, NP

• Multi-Specialty Clinic/Center in Colton, CA
• Providers in Colton, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.