DR. GAVIN ROACH
NPI 1669634218
Pediatrics - Pediatric Hematology-Oncology in Los Angeles, CA

Active since June 25, 2008PECOS EnrolledAccepts Medicare Assignment
757 WESTWOOD PLZ, LOS ANGELES, CA 90095(310) 825-9111 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gavin Roach NPPES

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

DR. GAVIN ROACH (NPI 1669634218) is an individual pediatric hematology-oncology provider in Los Angeles, California, licensed in California (A111923) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1669634218
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. GAVIN ROACH
Location Address757 WESTWOOD PLZLos Angeles, CA 90095-8358
Mailing Address5767 W Century Blvd, Suite 400Los Angeles, CA 90045-5631 · (310) 301-8707 · Fax (310) 301-8751
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 25, 2008
Last NPPES UpdateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1669634218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in CA · A111923
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
757 WESTWOOD PLZ, Los Angeles, CA 90095

Accepted Insurance

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

Dr. Gavin Roach 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.

PECOS PAC ID6608091871
PECOS Enrollment IDI20211005002248
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 Gavin Roach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
969 STEVENS DR, SUITE 1B
Richland, WA 99352
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: The Association Of Chrmc And University Physicians
  • 1,443 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.

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.

Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Pediatrics
757 WESTWOOD PLZ, B711 RRUMC
LOS ANGELES, CA 90095
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Internal Medicine
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095

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 Gavin Roach's NPI number?

The NPI number for Gavin Roach is 1669634218. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Gavin Roach located?

Gavin Roach practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-9111.

What is Gavin Roach's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Gavin Roach enrolled in Medicare?

Yes. Gavin Roach 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 organization bills Medicare for Gavin Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gavin Roach reassigns Medicare benefits to Association Of Chmc And University Physicians (Richland, WA). 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 Gavin Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gavin Roach accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Gavin Roach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gavin Roach was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.