Individual provider Active NPI

Cecil Olaya Robertson, M. D.

  • Hematology & Oncology Physician
  • Santa Maria, CA
National Provider Identifier
1780640631
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G86347 Issued in CA
Practice address
1325 E Church St Ste 301
Santa Maria, CA 93454
Phone
(805) 349-9393
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME65760 FL
Hematology & Oncology Physician 207RH0003X G86347 CA Primary

Addresses

Primary practice location

1325 E Church St Ste 301
Santa Maria, CA 93454

Mailing address

1400 E. Church Street
Attention: Medical Staff Office
Santa Maria, CA 93454
Phone (805) 739-3954

Other practice location 1

433 SW 10th St
Ocala, FL 34471-0209
Phone (352) 732-4032

Other practice location 2

433 SW 10th St
Ocala, FL 34471-0209
Phone (352) 732-4032

Other identifiers 2

IdentifierTypeStateIssuer
P01747128OtherFLRAILROAD PTAN
252763400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040102000377 FL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9133028715 Practice locations: Titusville, FL
I20171208002231 CA Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 9133028715 Reassigns benefits to 2 organizations
I20200518002302 NY Practitioner - Hematology/Oncology 9133028715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
State University of New York at Buffalo School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Atwell Rd
Cooperstown, NY 13326-1394

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G86347CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Nov 14, 2022 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 22, 2018 Accepting new patients
Enloe Specialty Physicians, Inc CurrentSince May 24, 2021 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Guthrie Medical Group, P.C. Hematology & Oncology CurrentSince Nov 14, 2022 Accepting new patients
Orlando Cancer Center Inc Hematology & Oncology Past Accepting new patients
Omni Healthcare, Inc PastSince Jul 2, 2018 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

265 Cohasset Rd
Chico, CA 95926
Phone (530) 332-3808

3850 G St
Merced, CA 95340
Phone (209) 384-6528

4501 X St
Sacramento, CA 95817
Phone (916) 734-5959

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

2 Guthrie Dr
Corning, NY 14830
Phone (607) 937-3100

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: crobertson182021@direct-guthrie.org

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 6

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1780640631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E. CHURCH STREET",
            "address_2": "ATTENTION: MEDICAL STAFF OFFICE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-739-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E CHURCH ST STE 301",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-349-9393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 SW 10th St",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344710209",
            "country_code": "US",
            "telephone_number": "352-732-4032",
            "fax_number": "352-732-4191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 SW 10th St",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344710209",
            "country_code": "US",
            "telephone_number": "352-732-4032",
            "fax_number": "352-732-4191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "CECIL",
        "middle_name": "OLAYA",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME65760",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G86347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PTAN",
            "identifier": "P01747128",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252763400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.