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: August 16, 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, and ordering and referring status from the CMS PECOS system.

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.

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
Urology
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.

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.