Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Deshawn Michael Roberson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043603400

Mr. Deshawn Michael Roberson is a Student in an Organized Health Care Education/Training Program in Granada Hills, California. Licensed in California and Washington. Registered with an NPI since 2015.

Licensed in
CA, WA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

10515 Balboa Blvd Ste 285
Granada Hills, CA 91344-6343
Phone: (619) 820-7062
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 54384 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (WA)

Record details

NPI number1043603400
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 10, 2015
Last updated in NPPESMay 3, 2017

Other providers in Granada Hills