Thomas E. Roberts, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G038535 Issued in CA

Practice address

15405 Los Gatos Blvd
104
Los Gatos, CA 95032-2500

Phone

(408) 358-3828

Fax

(408) 358-2573

NPI assigned

Feb 15, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Thomas E. Roberts, M.D.

  • Specialist
  • Los Gatos, CA
  • NPI 1912129099
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1912971045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15405 LOS GATOS BLVD",
            "address_2": "104",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322500",
            "telephone_number": "408-358-3828",
            "fax_number": "408-358-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 LOS GATOS BLVD",
            "address_2": "104",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322500",
            "telephone_number": "408-358-3828",
            "fax_number": "408-358-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "THOMAS",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G038535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "94-2881543",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Dyer DDS & Christina Fantino DDS Dba Oak Meadow Dental Center
• Robert G. Aptekar MD Inc
• Robert Kwok, MD, Inc
• Lianna M. Roberts, PT
• Ryan Roberts
• Andrea Robicheau, LMFT
• Alfred Robinson
• Anne Marie Robinson, PT
• Rebecca Mae Robinson, PT, ATC, CAE
• Jane A Roccosalva, OTC

• Specialist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.