Randall Roll, | |
17772 Beach Blvd, Huntington Beach, CA 92647 | |
(714) 843-5000 | |
Not Available |
Full Name | Randall Roll |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 9 Years |
Location | 17772 Beach Blvd, Huntington Beach, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376998849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OT016941 (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | 20A17512 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Corona Regional Medical Center | Corona, CA | Hospital |
Huntington Beach Hospital | Huntington beach, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beach Emergency Medical Associates | 8123120078 | 13 |
Entity Name | Beach Emergency Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013074996 PECOS PAC ID: 8123120078 Enrollment ID: O20070222000661 |
Entity Name | Corona Regional Emergency Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134629298 PECOS PAC ID: 9133481484 Enrollment ID: O20180326001396 |
Mailing Address | Practice Location Address |
---|---|
Randall Roll, 17772 Beach Blvd, Huntington Beach, CA 92647-6819 Ph: () - | Randall Roll, 17772 Beach Blvd, Huntington Beach, CA 92647 Ph: (714) 843-5000 |
Kelly Flannigan Unger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17772 Beach Blvd, Huntington Beach, CA 92647 Phone: 714-843-5011 | |
Mr. Stanley Wayne Combs, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 16761 Edgewater Lane, Huntington Beach, CA 92649 Phone: 714-846-9400 | |
Charles B Obrien, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 21391 Pinetree Ln, Huntington Beach, CA 92646 Phone: 714-335-9024 | |
Dr. Patrick D Cichon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8252 Lambert Dr, Huntington Beach, CA 92647 Phone: 323-363-3442 | |
Vince Truong, D.O. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 7834 Glencoe Ave, Huntington Beach, CA 92647 Phone: 586-212-3164 Fax: 310-379-4856 | |
Jessica Rendin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17772 Beach Blvd, Huntington Beach, CA 92647 Phone: 714-843-5011 | |
Khanh Tran, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17772 Beach Blvd, Huntington Beach, CA 92647 Phone: 714-842-1473 |