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ROGER SAMUEL PROCTOR M.D.
NPI 1184761090
Anesthesiology in Pinole, CA

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
1700 SAN PABLO AVE, PINOLE, CA 94564(510) 724-9500(510) 724-9511 Get Directions Write a Review

NPPES record last updated: January 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roger Samuel Proctor M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROGER SAMUEL PROCTOR M.D. (NPI 1184761090) is an individual anesthesiology provider in Pinole, California, licensed in California (G46210) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1980).

NPPES Registry Identity

NPI1184761090
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameROGER SAMUEL PROCTORCredential: M.D.
Location Address1700 SAN PABLO AVEPinole, CA 94564-2081
Mailing Address210 N Tustin AveSanta Ana, CA 92705-3807 · (714) 347-1010 · Fax (714) 647-1245
Phone(510) 724-9500
Fax(510) 724-9511
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1980
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJanuary 10, 2015
✔ NPI 1184761090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · G46210
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1700 SAN PABLO AVE, Pinole, CA 94564
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Other Identifiers 3

Medicare PIN00G462100CA
Medicaid00G462100CA
Medicare UPINC20706

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roger Samuel Proctor M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890857239
PECOS Enrollment IDI20081219000169
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
30 services28 patients

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A CENTER FOR HEARING HEALTH
Hearing Aid Equipment
1700 SAN PABLO AVE, SUITE F
PINOLE, CA 94564
Contra Costa County (510) 724-1095
DR. JOHN HEARST WELBORN JR. M.D.
Orthopaedic Surgery
1700 SAN PABLO AVE, SUITE A
PINOLE, CA 94564
Contra Costa County (510) 724-4600
CINDY ROSS
Audiologist
1700 SAN PABLO AVE, STE F
PINOLE, CA 94564
Contra Costa County (510) 724-1095
WILLIAM C LYON MD, A PROFESSIONAL CORPORATION
Orthopaedic Surgery
1700 SAN PABLO AVE, SUITE A
PINOLE, CA 94564
Contra Costa County (510) 724-4113
CANYON PINOLE SURGERY CENTER, LP
Clinic/Center (Ambulatory Surgical)
1700 SAN PABLO AVE, STE. D
PINOLE, CA 94564
Contra Costa County (510) 724-9500
WEBSTER SURGERY CENTER, LP
Clinic/Center (Ambulatory Surgical)
1700 SAN PABLO AVE, SUITE D
PINOLE, CA 94564
Contra Costa County (888) 767-7476
MR. GEORGE ICHUNG LEE MD
Anesthesiology
1700 SAN PABLO AVE
PINOLE, CA 94564
Contra Costa County (510) 724-9500
JOSEPH ANTHONY MATAN M.D. A PROFESSIONAL CORPORATION.
Orthopaedic Surgery
1700 SAN PABLO AVE, SUITE A
PINOLE, CA 94564
Contra Costa County (510) 724-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roger Proctor's NPI number?

The NPI number for Roger Proctor is 1184761090. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Roger Proctor located?

Roger Proctor practices at 1700 San Pablo Ave, Pinole, CA 94564. The listed phone number is (510) 724-9500.

What is Roger Proctor's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Roger Proctor enrolled in Medicare?

Yes. Roger Proctor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Roger Proctor was last updated on January 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.