Active NPI
Christopher Robshaw, M.D.
- Pediatrics Physician
- Fort Bragg, CA
National Provider Identifier
1932178449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G154020
- Practice address
- 510 Cypress St Ste D
Fort Bragg, CA 95437-5411 - Phone
- (707) 964-1251
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME53708 | FL | |
| Pediatrics Physician | 208000000X | G154020 | CA | Primary |
Addresses
Primary practice location
510 Cypress St Ste D
Fort Bragg, CA 95437-5411
Mailing address
205 South St
Fort Bragg, CA 95437-5540
Phone (707) 964-1251
Other practice location 1
205 South St
Fort Bragg, CA 95437-5540
Phone (707) 964-1251
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G154020 | Other | CA | MEDICAL LICENSE |
| 12196 | Other | FL | BCBS PROVIDER # |
| 053189800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G154020 | CA | MD | Pediatrics Physician |
| ME53708 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendocino Coast Clinics Inc | Current | Accepting new patients |
Locations
205 South St
Fort Bragg, CA 95437
Phone (707) 961-4088
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Fort Bragg, CA
- NPI 1609595404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1932178449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 SOUTH ST",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "954375540",
"telephone_number": "707-964-1251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 CYPRESS ST STE D",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "954375411",
"telephone_number": "707-964-1251"
}
],
"practiceLocations": [
{
"address_1": "205 South St",
"address_purpose": "LOCATION",
"city": "Fort Bragg",
"state": "CA",
"postal_code": "954375540",
"country_code": "US",
"telephone_number": "707-964-1251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBSHAW",
"first_name": "CHRISTOPHER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME53708",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G154020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G154020",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "12196",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "053189800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.