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MICHAEL O ROACH MD
NPI 1417970583
Family Medicine - Geriatric Medicine in La Mirada, CA

Active since July 26, 2006PECOS Enrolled
15625 IMPERIAL HWY, LA MIRADA, CA 90638(562) 902-3000(562) 902-9563 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael O Roach Md NPPES

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

MICHAEL O ROACH MD (NPI 1417970583) is an individual geriatric medicine provider in La Mirada, California, licensed in California (G32190) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417970583
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameMICHAEL O ROACHCredential: MD
Location Address15625 IMPERIAL HWYLa Mirada, CA 90638-1301
Mailing Address15625 Imperial HwyLa Mirada, CA 90638-1627 · (562) 902-3000 · Fax (562) 902-9563
Phone(562) 902-3000
Fax(562) 902-9563
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateMarch 12, 2012
✔ NPI 1417970583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in CA · G32190
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License G32190 (CA)
15625 IMPERIAL HWY, La Mirada, CA 90638
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Other Identifiers 1

Medicare UPINA34843CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael O Roach Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Roach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Imperial Primary Care Medical Group
Same address
Family Medicine
15625 IMPERIAL HWY
La Mirada, CA 90638
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1598893455 (562) 902-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90638 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE KEHAULANI HUMPHRIES WIDGER PA-C
Physician Assistant
15625 IMPERIAL HWY
LA MIRADA, CA 90638
Los Angeles County (562) 902-3000
IMPERIAL PRIMARY CARE MEDICAL GROUP
Family Medicine
15625 IMPERIAL HWY
LA MIRADA, CA 90638
Los Angeles County (562) 902-3000
NEELAM PATEL
Physician Assistant
15625 IMPERIAL HWY
LA MIRADA, CA 90638
Los Angeles County (562) 902-3000

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 Roach's NPI number?

The NPI number for Michael Roach is 1417970583. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Michael Roach located?

Michael Roach practices at 15625 Imperial Hwy, La Mirada, CA 90638. The listed phone number is (562) 902-3000.

What is Michael Roach's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Michael Roach enrolled in Medicare?

Yes. Michael Roach is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Roach reassigns Medicare benefits to Imperial Primary Care Medical Group (La Mirada, CA). The 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 Michael Roach'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 Michael Roach was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.