Ali Roham, D.O.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

20A16803 Issued in CA

Practice address

3500 S Bristol St Ste 200
Santa Ana, CA 92704-7319

Phone

(714) 557-0777

NPI assigned

Mar 21, 2011

Last updated

Jun 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Plastic and Reconstructive Surgery

Education

Arizona College of Osteopathic Medicine Mid Western University, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ali Roham, DO Inc

  dba Ali Roham, DO

  • Plastic and Reconstructive Surgery Physician
  • Newport Beach, CA
  • NPI 1558907857
  Medicare reassignment NPD Authorized official
• Advance Oc Surgical Inc.

  • Ambulatory Surgical Clinic/Center
  • Santa Ana, CA
  • NPI 1427577907
  NPD (past)

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

• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1851690531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S BRISTOL ST STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047319",
            "telephone_number": "714-557-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S BRISTOL ST STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047319",
            "telephone_number": "714-557-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHAM",
        "first_name": "ALI",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "20A16803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Marie Rogers
• Jamie Rogerson
• Philip Roggow
• Arnold Roguel
• Joshua Roh
• Christian Rohner
• Yazmin Rojas Cameron, LCSW
• Jeannette Margarita Rojas Rivero, AMFT
• Adam Cassidy Rojas
• Cindy Rojas

• Plastic Surgery Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.