Joseph B. Roberson Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G65997 Issued in CA

Practice address

1900 University Ave
Ste 101
E Palo Alto, CA 94303-2212

Phone

(650) 494-1000

Fax

(650) 322-8228

NPI assigned

Oct 3, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 31, 2016 through Mar 31, 2028

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.

• California Ear Institute, Inc.

  • Specialist
  • E Palo Alto, CA
  • NPI 1538267091
  NPD (past) Authorized official
• LPCH Medical Group Div of Lucile

  • Children's Hospital
  • Palo Alto, CA
  • NPI 1417907940
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932293123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 UNIVERSITY AVE",
            "address_2": "STE 101",
            "city": "E PALO ALTO",
            "state": "CA",
            "postal_code": "943032212",
            "telephone_number": "650-494-1000",
            "fax_number": "650-322-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 UNIVERSITY AVE",
            "address_2": "STE 101",
            "city": "E PALO ALTO",
            "state": "CA",
            "postal_code": "943032212",
            "telephone_number": "650-494-1000",
            "fax_number": "650-322-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "JOSEPH",
        "middle_name": "B.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G65997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delores Jackson
• Melissa H. Kong, M.D.
• Robert Hardwin Mead, MD
• Victor Morton
• Robin Ashok Patrawala, M.D.
• Michael Allen Ruder, M.D.
• Danna Salvaleon-Cua, LVN
• Sarai Sanchez
• Nellis Allan Smith, M.D.
• Donald Anthony St. Claire Jr., M.D.

• Specialist in E Palo Alto, CA
• Providers in E Palo Alto, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.