Jay L Roberts

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

61017 Issued in CA

Practice address

440 E Canal Dr
Turlock, CA 95380-3936

Phone

(209) 669-2583

NPI assigned

Sep 3, 2009

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

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1871726109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12155 CHAD LN",
            "city": "WATERFORD",
            "state": "CA",
            "postal_code": "953869400",
            "telephone_number": "209-683-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E CANAL DR",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953803936",
            "telephone_number": "209-669-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JAY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "61017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesenia Rivera
• RKTT LLC
• Yolanda Marie Roberson
• Robert a Johns O.D.
• Deborah Suzanne Roberts, RN,C
• Laura Ann Roberts, RN
• Collin Robillard, OD
• James M Robinson, M.D.
• Leslie Ann Robinson, B.A.
• Violeta Robledo

• Professional Counselor in Turlock, CA
• Providers in Turlock, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.