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MARK W ROBERTS MD INC
NPI 1811153836
Point of Service in Folsom, CA

Active since July 29, 2008
1580 CREEKSIDE DR, SUITE NUMBER 130, FOLSOM, CA 95630(916) 983-6400(916) 983-6011 Get Directions Write a Review

NPPES record last updated: August 26, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mark W Roberts Md Inc NPPES

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

MARK W ROBERTS MD INC (NPI 1811153836) is a healthcare organization registered as a point of service in Folsom, California and active in the NPI registry since July 2008. The organization lists Danielle Ebrado, Cma/medical Assistant, as its authorized official.

NPPES Registry Identity

NPI1811153836
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameMARK W ROBERTS MD INC
Location Address1580 CREEKSIDE DR, SUITE NUMBER 130Folsom, CA 95630-3886
Mailing Address1580 Creekside Dr, Suite Number 130Folsom, CA 95630-3886 · (916) 983-6400 · Fax (916) 983-6011
Phone(916) 983-6400
Fax(916) 983-6011
Organization SubpartNo
Authorized OfficialDanielle EbradoCma/medical Assistant · (916) 983-6400
Enumeration DateJuly 29, 2008
Last NPPES UpdateAugust 26, 2008
✔ NPI 1811153836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in CA · G72120
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
1580 CREEKSIDE DR, Folsom, CA 95630
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Other Identifiers 2

Medicare UPINX80279CA
Medicare PINZZZ24440ZCA

Other Providers at the Same Location NPPES 11

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

MS. SALLY BROOKE WATKINS L.C.S.W.
Social Worker (Clinical)
1580 CREEKSIDE DR, SUITE 240
FOLSOM, CA 95630
Sacramento County (916) 939-8249
DR. ERNEST J HOOK DPM
Podiatrist (Foot & Ankle Surgery)
1580 CREEKSIDE DR, SUITE 110
FOLSOM, CA 95630
Sacramento County (916) 984-7912
SAMI M KHOURI MD
Internal Medicine
1580 CREEKSIDE DR, STE 260
FOLSOM, CA 95630
Sacramento County (916) 984-7870
MR. PETER NICHOLAS SFAKIANOS M.D.
Specialist
1580 CREEKSIDE DR, SUITE 100
FOLSOM, CA 95630
Sacramento County (916) 984-4500
DEBI HOFFMAN PSY.D.
Psychologist
1580 CREEKSIDE DR, SUITE 240
FOLSOM, CA 95630
Sacramento County (916) 770-5579
DR. NAZIR AHMAD RAHIM MD
Internal Medicine (Gastroenterology)
1580 CREEKSIDE DR, STE 220
FOLSOM, CA 95630
Sacramento County (916) 983-4444
DR. MICHAEL HARRIS MILLMAN PH.D.
Psychologist (Addiction (Substance Use Disorder))
1580 CREEKSIDE DR, STE. 240
FOLSOM, CA 95630
Sacramento County (916) 984-9606
PETER N. SFAKIANOS, M.D., INC.
Orthopaedic Surgery
1580 CREEKSIDE DR, SUITE 100
FOLSOM, CA 95630
Sacramento County (916) 984-4500

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 Mark W Roberts MD Inc's NPI number?

The NPI number for Mark W Roberts MD Inc is 1811153836. It was assigned to this organization in the NPPES registry on July 29, 2008.

Where is Mark W Roberts MD Inc located?

Mark W Roberts MD Inc is located at 1580 Creekside Dr Suite Number 130, Folsom, CA 95630. The listed phone number is (916) 983-6400.

What is Mark W Roberts MD Inc's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Mark W Roberts MD Inc was last updated on August 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.