MR. JOHN WOODSON ROBERTS (NPI# 1861481004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861481004 |
| Entity Type | Individual |
| Full Name | MR. JOHN WOODSON ROBERTS |
| Credential | MD |
| Practice Address |
1455 Montego Ste 102 Walnut Creek CA 94598-2990 |
| Practice Telephone | 9259350627 |
| Practice Fax Number | 9259376967 |
| Mailing Telephone | 9259350627 |
| Mailing Fax Number | 9259376967 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | G35198 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G351980 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619498490 | John Herman Roberts Jr. | Family Medicine | 1111 Gallaher Dr., Sherman, TX 75090 | 2017-06-30 |
| 1609158559 | John Charles Roberts Jr. | Specialist/Technologist | 1000 Vermillion St, Concord University, Athens, WV 24712-9027 | 2011-09-16 |
| 1568774842 | John L Roberts | Counselor | 3800 N Classen Blvd, Suite C110, Oklahoma City, OK 73118-2862 | 2010-07-02 |
| 1336342054 | John Lloyd Roberts | Counselor | 2326 Highland Ave S, Ste 201, Birmingham, AL 35205-2912 | 2007-06-08 |
| 1487876934 | John Steven Roberts | Specialist | 2400 Fm 32, San Marcos, TX 78666-1746 | 2007-05-03 |
| 1376766881 | John K Roberts | Psychologist | 5776 Stoneridge Mall Road, Suite 346, Pleasanton, CA 94588 | 2007-04-11 |
| 1285799395 | John Randall Roberts | Dentist | 724 N Grand Ave, Connersville, IN 47331-2015 | 2006-12-27 |
| 1013077924 | John Lucas Roberts IIi | Acupuncturist | 134 W 26th St Fl 2, New York, NY 10001-6803 | 2006-12-11 |
| 1932294170 | John D Roberts | Ophthalmology | 917 Plaza Avenue, Eastman, GA 31023 | 2006-10-04 |
| 1023103561 | John Charles Roberts | Dentist | 256 Martin St., Twin Falls, ID 83301 | 2006-10-03 |
| Street Address |
1455 MONTEGO STE 102 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487800728 | Norcal Urology Medical Group | Urology | 1455 Montego, Suite 102, Walnut Creek, CA 94598-2990 | 2008-08-18 |
| 1891952198 | Mahsheed Shariati | Family Medicine | 1455 Montego, Suite 205, Walnut Creek, CA 94598-2990 | 2008-05-22 |
| 1962673046 | Daniel Young Paik | Obstetrics & Gynecology | 1455 Montego, Suite 100, Walnut Creek, CA 94598-2990 | 2008-03-18 |
| 1518153824 | Oana V Spataru | Internal Medicine | 1455 Montego, #200, Walnut Creek, CA 94598-2990 | 2007-09-20 |
| 1003015124 | Jessica A Evert | Family Medicine | 1455 Montego, Suite 205, Walnut Creek, CA 94598-2990 | 2007-07-18 |
| 1437277282 | Mary Lucille Boegel | Family Medicine | 1455 Montego, #104, Walnut Creek, CA 94598-2990 | 2007-03-27 |
| 1487785531 | Cypress Womens Cancer Treatment | Obstetrics & Gynecology | 1455 Montego, Ste 100, Walnut Creek, CA 94598-2990 | 2007-03-08 |
| 1669509501 | Michelle L Minor | Nurse Practitioner | 1455 Montego, Walnut Creek, CA 94598-2990 | 2007-02-27 |
| 1467475392 | John Muir Physician Network | Family Medicine | 1455 Montego, #104, Walnut Creek, CA 94598-2990 | 2006-07-25 |
| 1639198757 | Taejoon Ahn | Family Medicine | 1455 Montego, Suite 205, Walnut Creek, CA 94598-2990 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033528351 | Robert Darrell Cannon | Urology | 2717 Ptarmigan Dr Apt 2, Walnut Creek, CA 94595-3195 | 2014-08-12 |
| 1912934993 | Allan David Tobias | Urology | 909 Wiget Lane, Walnut Creek, CA 94598 | 2006-06-27 |
| 1891793980 | Brian David Hopkins | Urology | 2637 Shadelands Dr Ste C, Walnut Creek, CA 94598-2512 | 2005-07-12 |
| 1699916395 | Norcal Urology Medical Group | Urology | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2009-03-10 |
| 1487800728 | Norcal Urology Medical Group | Urology | 1455 Montego, Suite 102, Walnut Creek, CA 94598-2990 | 2008-08-18 |
| 1174793806 | Andrew David Smith | Urology | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2008-03-10 |
| 1952579591 | Mehzad Shahsavari | Urology | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2008-02-18 |
| 1346423449 | Sidney Horatio Wilberforce | Urology | 1425 S Main St, 1st Floor - Urology, Walnut Creek, CA 94596-5318 | 2007-12-11 |
| 1811039480 | Andrew A Chen | Urology | 1425 S Main St, Department of Urology, Walnut Creek, CA 94596-5318 | 2007-02-12 |
| 1154486793 | Amir Hossein Arsanjani | Urology | 1425 South Main Street, Medical Office Building First Floor, Walnut Creek, CA 94596 | 2006-12-26 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
Please comment or provide details below to improve the information on MR. JOHN WOODSON ROBERTS.
| 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.