DR. TODD M. ROBERTS (NPI# 1962722108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962722108 |
Entity Type | Individual |
Full Name | DR. TODD M. ROBERTS |
Credential | D.O. |
Practice Address |
25150 Hancock Ave Suite 204 Murrieta CA 92562-5987 |
Practice Telephone | 9516988222 |
Practice Fax Number | 9516987411 |
Mailing Telephone | 9516988222 |
Mailing Fax Number | 9516987411 |
Enumeration Date | 2010-06-10 |
Last Update Date | 2016-01-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
OT013763 | PA | Allopathic & Osteopathic Physicians |
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
20A13954 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154542173 | Todd C Roberts | Chiropractor | 3931 E 60th Pl, Tulsa, OK 74135-7832 | 2007-05-01 |
1982714796 | Todd Michael Roberts | Physical Therapist | 210 Main St, Old Saybrook, CT 06475-2333 | 2006-08-30 |
1649208844 | Todd Alan Roberts | Emergency Medicine | 2300 S 16th St, Lincoln, NE 68502-3704 | 2006-06-28 |
1003871336 | Todd F Roberts | Internal Medicine | 206 Mill Rd, Fairhaven, MA 02719-5208 | 2006-04-19 |
Street Address |
25150 HANCOCK AVE SUITE 204 |
City | MURRIETA |
State | CA |
Zip Code | 92562-5987 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154316818 | David Adam Newman | Plastic Surgery | 25150 Hancock Ave, Suite 110, Murrieta, CA 92562-5987 | 2005-09-19 |
1174060263 | Usc Murrieta Anesthesia Associates Lp | Nurse Anesthetist, Certified Registered | 25150 Hancock Ave, Suite 208, Murrieta, CA 92562-5987 | 2017-01-26 |
1003368051 | Kirstie A Cua | Physical Therapist | 25150 Hancock Ave, Suite 200, Murrieta, CA 92562-5987 | 2016-10-25 |
1457805293 | Erin C Skrettingland | Physical Therapist | 25150 Hancock Ave, Suite 100, Murrieta, CA 92562-5987 | 2016-08-10 |
1174974042 | Andrew Erwteman,md,inc | Orthopaedic Surgery | 25150 Hancock Ave, Suite 200, Murrieta, CA 92562-5987 | 2016-06-22 |
1063881605 | Trivalley Ear Nose Throat | Otolaryngology | 25150 Hancock Ave, Ste 204, Murrieta, CA 92562-5989 | 2015-09-24 |
1225417843 | Robert Kollmorgen Do Inc | Orthopaedic Surgery | 25150 Hancock Ave, Suite 200, Murrieta, CA 92562-5987 | 2015-05-28 |
1730571134 | Dustin Willis | Physical Therapist | 25150 Hancock Ave, Suite 100, Murrieta, CA 92562-5987 | 2015-02-23 |
1033513072 | Katrina Acoba | Physical Therapist | 25150 Hancock Ave, Suite 100, Murrieta, CA 92562-5987 | 2014-10-20 |
1619399284 | Sara Guiffrida | Physical Therapist | 25150 Hancock Ave, Suite 100, Murrieta, CA 92562-5987 | 2014-01-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
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Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063881605 | Trivalley Ear Nose Throat | Otolaryngology | 25150 Hancock Ave, Ste 204, Murrieta, CA 92562-5989 | 2015-09-24 |
1740526748 | Benjamin Stanley Roberts | Otolaryngology | 25150 Hancock Ave Ste 204, Murrieta, CA 92562-5989 | 2012-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073159406 | Bh Ent Group Inc | Otolaryngology | 9033 Wilshire Blvd Ste 409, Beverly Hills, CA 90211-1847 | 2019-11-20 |
1942719570 | Beverly Hills Head and Neck Associates | Otolaryngology | 9401 Wilshire Blvd Ste 650, Beverly Hills, CA 90212-2913 | 2017-09-27 |
1083135065 | Jeffrey Jumaily Md Inc | Otolaryngology | 8816 Burton Way # 1, Beverly Hills, CA 90211-1715 | 2017-06-29 |
1558881771 | Bel Air Surgical Institute | Otolaryngology | 11847 Wilshire Blvd Ste 302, Los Angeles, CA 90025-6634 | 2017-06-20 |
1912371352 | Ent Surgical Specialists Inc. | Otolaryngology | 6424 W Olympic Blvd, Los Angeles, CA 90048-5347 | 2015-11-23 |
1437536216 | Kiersten L. Riedler | Otolaryngology | 5405 Oberlin Dr Fl 2, San Diego, CA 92121-1700 | 2015-04-30 |
1114344025 | Ryan M Casserly | Otolaryngology | 966 Cass St Ste 250, Monterey, CA 93940-4541 | 2014-03-28 |
1558798611 | Stephen Dow Proffitt | Otolaryngology | 172 Admiral Way, Costa Mesa, CA 92627-1397 | 2013-10-03 |
1447693973 | Jacob Lee Wester | Otolaryngology | 200 Medical Plaza Driveway Ste 550, Ucla Department of Head and Neck Surgery, Los Angeles, CA 90095-0001 | 2013-04-15 |
1417294174 | Entegrative Otolaryngology PC | Otolaryngology | 1144 Sonoma Ave Ste 101, Santa Rosa, CA 95405-4812 | 2013-01-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.