Randall Roll

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

20A17512 Issued in CA

Practice address

17772 Beach Blvd
Huntington Beach, CA 92647

Phone

(714) 843-5000

NPI assigned

May 3, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Lake Erie College of Osteopathic Medicine, Erie, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beach Emergency Medical AssociatesGroup PAC ID 8123120078, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corona Regional Medical Center Hospital, Corona, CA, CCN 050329
• Huntington Beach Hospital Hospital, Huntington Beach, CA, CCN 050526

Merit-based Incentive Payment System (MIPS)

Final score

95.76 of 100Reported as group

Quality

83.25

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

94.35 of 100Reported as group

Quality

81.59

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beach Emergency Medical Associates

  • Emergency Medicine Physician
  • Huntington Beach, CA
  • NPI 1013074996
  Medicare reassignment Care Compare group NPD
• Corona Regional Emergency Medical Associates Inc

  • Emergency Medicine Physician
  • Corona, CA
  • NPI 1134629298
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Huntington Beach, LLC

  • General Acute Care Hospital
  • Huntington Beach, CA
  • NPI 1083622120
  Care Compare affiliation
• Uhs-Corona Inc

  • General Acute Care Hospital
  • Corona, CA
  • NPI 1457347239
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1376998849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17772 BEACH BLVD",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17772 BEACH BLVD",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92647",
            "telephone_number": "714-843-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 State St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165500002",
            "country_code": "US",
            "telephone_number": "814-877-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLL",
        "first_name": "RANDALL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-03",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT016941",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A17512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Rojas
• Liliana Rojas
• Meaghan Rojas, RBT
• Angelica Rojo
• Vanessa Rojo
• Leticia Romero
• Michelle Romero
• Jakob Romo
• Lucy Ann Romo, LCSW
• William Romo

• Emergency Medicine Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.