Physician Compare National (NPI:1730264268)

HEALTHCARE PROVIDER: SCOT L ROBERG D.P.M.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1730264268
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799750741
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080611000215
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROBERG
	Individual professional last name
Provider First Name	SCOT
	Individual professional first name
Provider Middle Name	LINDSEY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3160 TELEGRAPH RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 207
	Group Practice or individual's line 2 address
City	VENTURA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	930033256
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8054856708
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050159
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VENTURA COUNTY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050616
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST JOHNS PLEASANT VALLEY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050394
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	COMMUNITY MEMORIAL HOSPITAL SAN BUENAVENTURA
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y