Roger L. McClellan, MD, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A25690 Issued in CA

Legal business name

ROGER L. MCCLELLAN, MD, INC.

Practice address

6311 Turnberry Cir
Huntington Beach, CA 92648-5584

Phone

(714) 960-7977

Fax

(714) 960-8534

NPI assigned

Apr 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Roger Lewis McClellan, MDNPI 1649289182

Title

President

Phone

(714) 960-7977

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger McClellan, M.D.

  • Diagnostic Radiology Physician
  • Huntington Beach, CA
  • NPI 1649289182
  NPD (past) Authorized official

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508124579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 TURNBERRY CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485584",
            "telephone_number": "714-960-7977",
            "fax_number": "714-960-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 TURNBERRY CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485584",
            "telephone_number": "714-960-7977",
            "fax_number": "714-960-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER L. MCCLELLAN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-960-7977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A25690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A25690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naydelin Rodriguez
• Ruben Rodriguez Jr., MA
• Tom Rodriguez
• Brooke Roemer
• Stefani L Roesch, RD
• Suzanne Joyce Roh-Freeman, PT
• Michael Lee Roh, M.D.
• Dioselina Rojas
• Kaylee Rojas
• Liliana Rojas

• Diagnostic Radiology Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.