Provider Demographics
NPI:1205836996
Name:ROBERTS, ARIELLA CHANA (MD)
Entity type:Individual
Prefix:DR
First Name:ARIELLA
Middle Name:CHANA
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 LONESOME POLECAT LN
Mailing Address - Street 2:
Mailing Address - City:WASHOE VALLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89704-9590
Mailing Address - Country:US
Mailing Address - Phone:818-932-4390
Mailing Address - Fax:888-318-3650
Practice Address - Street 1:1441 CONSTITUTION BLVD
Practice Address - Street 2:BLDG 400, SUITE 202
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906
Practice Address - Country:US
Practice Address - Phone:831-796-1700
Practice Address - Fax:831-796-8686
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-26
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA972952084P0800X
NV161942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
I48768Medicare UPIN