RANDALL ROLL
NPI 1376998849
Emergency Medicine in Huntington Beach, CA
About Randall Roll NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDALL ROLL (NPI 1376998849) is an individual emergency medicine provider in Huntington Beach, California, licensed in California (20A17512) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Erie, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Randall Roll is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Randall Roll reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Huntington Beach, CA 92647
- Reassigned Medicare billing, California enrollment
- 45 clinicians in this Medicare group
Fullerton, CA 92833
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Corona, CA 92882
- Reassigned Medicare billing, California enrollment
- 114 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92647 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
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 Randall Roll's NPI number?
The NPI number for Randall Roll is 1376998849. It was assigned to this individual provider in the NPPES registry on May 3, 2016.
Where is Randall Roll located?
Randall Roll practices at 17772 Beach Blvd, Huntington Beach, CA 92647. The listed phone number is (714) 843-5000.
What is Randall Roll's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Randall Roll enrolled in Medicare?
Yes. Randall Roll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Randall Roll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall Roll reassigns Medicare benefits to 3 organizations: Beach Emergency Medical Associates (Huntington Beach, CA), Southern California Permanente Medical Group (Fullerton, CA) and Corona Regional Emergency Medical Associates Inc (Corona, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Randall Roll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Randall Roll was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Randall Roll · NPI 1376998849
Emergency Medicine physician in Huntington Beach, California. Individual provider, active in the CMS NPPES registry since May 3, 2016.
## Identity
- **NPI:** 1376998849 (Entity type: Individual)
- **Enumerated:** May 3, 2016
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 20A17512 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 17772 BEACH BLVD, Huntington Beach, CA 92647
- **Phone:** (714) 843-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Beach Emergency Medical Associates (NPI 1013074996, Huntington Beach, CA); Southern California Permanente Medical Group (NPI 1336556059, Fullerton, CA); Corona Regional Emergency Medical Associates Inc (NPI 1134629298, Corona, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2016
## Record status
- **NPPES last updated:** October 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1376998849) · Data from the CMS NPPES public registry.