Individual provider Active NPI

Roger McClellan, M.D.

  • Diagnostic Radiology Physician
  • Huntington Beach, CA
National Provider Identifier
1649289182
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A25690 Issued in CA
Practice address
6311 Turnberry Cir
Huntington Beach, CA 92648-5584
Phone
(714) 960-7977
Fax
(714) 960-8534
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A25690 CA Primary

Addresses

Primary practice location

6311 Turnberry Cir
Huntington Beach, CA 92648-5584

Mailing address

6311 Turnberry Cir
Huntington Beach, CA 92648-5584
Phone (714) 960-7977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040723001182 CA Practitioner - Diagnostic Radiology 0143200634 Reassigns benefits to 6 organizations
I20230125003124 TX Practitioner - Diagnostic Radiology 0143200634 Reassigns benefits to 6 organizations
I20230901001685 FL Practitioner - Diagnostic Radiology 0143200634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Columbia School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6311 Turnberry Cir
Huntington Beach, CA 92648-5584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A25690CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maverick County Rural Radiologists P a Diagnostic Radiology CurrentSince Jul 17, 2023 Accepting new patients
One Step Diagnostic IV LP CurrentSince Jan 1, 2025 Accepting new patients
Uvalde County Hospital Authority CurrentSince Oct 1, 2023 Accepting new patients
Vesta Telemedicine Solutions, PLLC Diagnostic Radiology CurrentSince Apr 17, 2023 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 19, 2024 Accepting new patients
One Step Diagnostic XII LP CurrentSince Oct 15, 2024 Accepting new patients
Coastal Imaging Associates, PLLC Diagnostic Radiology CurrentSince Oct 13, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Dec 3, 2022 Accepting new patients
Washington Radiologists Medical Group, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Biotech X-Ray Inc CurrentSince Jul 15, 2024 Accepting new patients
Uvalde County Hospital Authority CurrentSince Oct 1, 2023 Accepting new patients
Baptist Physician Network CurrentSince Jan 20, 2024 Accepting new patients
Merit Radiology PLLC Diagnostic Radiology CurrentSince Jan 15, 2025 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 19, 2024 Accepting new patients
Vesta Telemedicine Solutions, PC Diagnostic Radiology CurrentSince Dec 31, 2022 Accepting new patients
Mercy Hospital Grayling Past Accepting new patients
Quest Imaging Medical Associates, Inc. Past Accepting new patients
Imagecare Radiology PLLC Diagnostic Radiology PastSince Jan 14, 2024 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology PastSince Aug 3, 2021 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology Past Accepting new patients
Roger L. McClellan, MD, Inc. Diagnostic Radiology PastSince Dec 1, 2004 Accepting new patients

Locations

5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone 4794529416101

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

1071 S Sun Dr
Ste 2001
Lake Mary, FL 32746

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

1200 E Campbell Rd
Richardson, TX 75081

1025 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-6254

Interoperability endpoints

  • Direct secure messaging: roger.mcclellan.1@13131.direct.athenahealth.com

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1649289182",
    "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"
        },
        {
            "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": {
        "last_name": "MCCLELLAN",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A25690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.