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

Roger Samuel Proctor, MD

Individual provider Anesthesiology Physician · NPI 1184761090

Roger Samuel Proctor, MD is an Anesthesiology in Pinole, California. Graduated from Loma Linda University School of Medicine in 1980, 46 years ago. Practices with Monterey Anesthesia Professionals, a 17-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
46
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1700 San Pablo Ave
Pinole, CA 94564-2081
Phone: (510) 724-9500
Fax: (510) 724-9511
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence G46210 (CA)

Record details

NPI number1184761090
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJanuary 10, 2015
Mailing address210 N Tustin Ave, Santa Ana, CA 92705-3807

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice Monterey Anesthesia Professionals — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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