Jerry Dwight Robinson Sr.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1069 Broadway Ave
Seaside, CA 93955-4996

Phone

(831) 392-1500

NPI assigned

Jul 26, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Village Project, Inc

  • Health Maintenance Organization
  • Seaside, CA
  • NPI 1205138765
  NPD (past)

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1851120166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 BROADWAY AVE",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939554996",
            "telephone_number": "831-392-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 BROADWAY AVE",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939554996",
            "telephone_number": "831-392-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JERRY",
        "middle_name": "DWIGHT",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jane Reilly-Jaramillo, FNP
• Elaine Resurreccion
• Catherine E Rivera, MS, MM, MT-BC
• Laura Rivera, SLP
• Mary Linda Roberts, M.D.
• Requal Nevajean Robinson, MSW
• Hilda Rodriguez-Espinoza
• Maritza Romero, MEDICAL ASSISTANT
• Michael Romiza, DPT
• Valerie Roper

• Case Manager/Care Coordinator in Seaside, CA
• Providers in Seaside, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.