MR. MICHAEL M ROHAM PA.
NPI 1043516404
Physician Assistant - Medical in San Clemente, CA

Q: What is Michael Roham's NPI number?

The NPI number for Michael Roham is 1043516404. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Q: What is Michael Roham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Michael Roham was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 02, 2011

302 N EL CAMINO REAL STE 112, SAN CLEMENTE, CA 92672(949) 489-9898(949) 489-2569 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Mr. Michael M Roham Pa. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL M ROHAM PA. (NPI 1043516404) is an individual medical provider in San Clemente, California, licensed in California (PA15771) and active in the NPI registry since February 2011. He maintains a secondary practice location in San Clemente.

NPPES Registry Identity

NPI1043516404

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. MICHAEL M ROHAMCredential: PA.

Location Address302 N EL CAMINO REAL STE 112San Clemente, CA 92672-4776

Mailing Address647 Camino De Los Mares, 230San Clemente, CA 92673-2825 · (949) 230-5343 · Fax (949) 218-4868

Phone(949) 489-9898

Fax(949) 489-2569

Sole ProprietorYes

Enumeration DateFebruary 2, 2011

Last NPPES UpdateMay 5, 2020

NPPES CertifiedMay 5, 2020

✔ NPI 1043516404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA15771

302 N EL CAMINO REAL STE 112, San Clemente, CA 92672

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Secondary Practice Location 1

Location 1647 Camino De Los Mares, suite 230San Clemente, CA 92673-2825 · Phone (949) 218-4868 · Fax (949) 218-4868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Roham's NPI number?

The NPI number for Michael Roham is 1043516404. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Where is Michael Roham located?

Michael Roham practices at 302 N El Camino Real Ste 112, San Clemente, CA 92672. The listed phone number is (949) 489-9898.

What is Michael Roham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Michael Roham was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.