MICHAEL BRIAN ROACH


Address: 7117 Brockton Ave, Riverside, CA 92506-2615
Phone: 9517823701

MICHAEL BRIAN ROACH (NPI# 1326022815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326022815
Entity Type Individual
Full Name MICHAEL BRIAN ROACH
Practice Address 7117 Brockton Ave
Riverside
CA 92506-2615
Mailing Address 3660 Arlington Ave
Riverside
CA 92506-3912
Practice Telephone 9517823701
Practice Fax Number 9517843262
Mailing Telephone 9517825110
Mailing Fax Number 9512740403
Enumeration Date 2005-11-30
Last Update Date 2011-03-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery G39269 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GROUP SITE NUMBER ZZZ31887Z 01

Other Providers MICHAEL ROACH

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1124523907 Michael Justin Roach Hearing Instrument Specialist 4411 Old Bullard Rd Ste 501, Tyler, TX 75703-1215 2018-03-26
1417970583 Michael O Roach Family Medicine 15625 Imperial Hwy, La Mirada, CA 90638-1301 2006-07-26
1063071694 Michael Dean Roach Hearing Instrument Specialist 1400 Wsw Loop 323 Ste 100, Tyler, TX 75701-7201 2019-06-07
1114226735 Michael Charles Roach Radiology 2226 Liliha St Ste B2, Honolulu, HI 96817-1605 2011-03-22
1235436791 Michael Sp Roach Nurse Practitioner 325 W 20th St, Houston, TX 77008-2436 2011-02-18
1740592435 Michael Dewayne Roach Family Medicine 686 Lester St, Poplar Bluff, MO 63901-5025 2010-07-09
1326256447 Michael Stephen Roach Physician Assistant Us Naval Hospital Okinawa, Psc 482, Fpo, AP 96362-1600 2007-05-21
1689711665 Michael P Roach Optometrist 1001 Sturdy Rd, Valparaiso, IN 46383-4126 2007-01-31
1528004389 Michael L Roach Family Medicine 315 E Elm St, Suite 100, Caldwell, ID 83605-4857 2006-06-21
1487697801 Michael Roach Thoracic Surgery (Cardiothoracic Vascular Surgery) 1001 Blythe Blvd, Ste 300 - Thoracic Surgery, Charlotte, NC 28203-5866 2006-06-14

Office Location

Street Address 7117 BROCKTON AVE
City RIVERSIDE
State CA
Zip Code 92506-2615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689673626 Nardo Barrameda Buena Family Medicine 7117 Brockton Ave, Riverside, CA 92506-2658 2005-07-20
1174186910 Brenda Patricia Okware Nurse Practitioner 7117 Brockton Ave, Riverside, CA 92506-2658 2019-04-17
1174049878 Amy Dawn Causey Nurse Practitioner 7117 Brockton Ave, Riverside, CA 92506-2658 2017-08-15
1083137269 Sandra Garcia Soriano Registered Nurse 7117 Brockton Ave, Riverside, CA 92506-2658 2017-07-19
1316471865 May Leng Pharmacist 7117 Brockton Ave, Riverside, CA 92506-2658 2017-04-11
1861931230 Stephanie Nicole Vasquez Nurse Practitioner 7117 Brockton Ave, Riverside, CA 92506-2658 2017-02-18
1730634270 Kaely Owen Registered Nurse 7117 Brockton Ave, Riverside, CA 92506-2658 2016-08-24
1528416245 Robert Vela Family Medicine 7117 Brockton Ave, Riverside, CA 92506-2658 2016-06-03
1306291299 Joy Hong Student in an Organized Health Care Education/Training Program 7117 Brockton Ave, Riverside, CA 92506-2658 2016-04-28
1346694320 Jackie Shin Pharmacist 7117 Brockton Ave, Riverside, CA 92506-2658 2016-04-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902405715 Riverside Primary Care Clinic, Joanna Ayala Md Clinic/Center 3978 Merrill Ave, Riverside, CA 92506 2020-10-22
1336747005 Beatriz Arredondo Behavioral Analyst 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 2020-10-14
1740756782 Priscilla Marie Rodriguez Social Worker 3742 Tibbets St Suite 201, Riverside, CA 92506 2018-10-17
1922593946 Prevail Health Solutions, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 7450 Chateau Ridge Ln, Riverside, CA 92506 2018-06-22
1831691880 Mckinley Children's Center Community/Behavioral Health 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 2018-03-06
1720590946 Leticia Dilworth Behavioral Analyst 3610 Central Ave Ste 46, Riverside, CA 92506 2017-10-27
1548771736 Usa Biosciences LLC Clinical Medical Laboratory 5750 Division St Ste 109, Riverside, CA 92506 2017-10-16
1922542273 Yazmar Sevilla-perez Physical Therapist 6852 Brockton Ave., Suite 212, Riverside, CA 92506 2016-12-06
1821547605 Pathway To Healing, Marriage and Family Therapy, Inc. Marriage & Family Therapist 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 2016-09-22
1952857542 Kramer and Nguyen Dental Corporation Dentist 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 2016-09-01
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376142067 San Bernardino Medical Orthopaedic Gro Orthopaedic Surgery 4500 Brockton Ave Ste 306, Riverside, CA 92501-4027 2020-10-22
1609018464 Brian Yost Do, Inc Orthopaedic Surgery 4510 Brockton Ave Ste 375, Riverside, CA 92501-4020 2009-03-25
1205095643 Orthopaedic Surgery Medical Group Orthopaedic Surgery 4156 10th St, Riverside, CA 92501-3181 2008-06-02
1275737280 John Anthony Kuri II Orthopaedic Surgery 4510 Brockton Ave, Suite 175, Riverside, CA 92501-4015 2007-06-13
1861436602 Christopher H Fleming Orthopaedic Surgery 4444 Magnolia Avenue, Riverside, CA 92501-4136 2006-06-15
1164407391 Thomas Mark Hartley Orthopaedic Surgery 4444 Magnolia Ave, Riverside, CA 92501 2005-12-09
1013913573 Michael J Hejna Orthopaedic Surgery 353 E Burlington St, Ste 100, Riverside, IL 60546-2082 2005-06-21
1811992183 Jack H Akmakjian Orthopaedic Surgery 7300 Magnolia Ave, Riverside, CA 92504-3810 2005-06-14
1073518353 Neil J. Halbridge Orthopaedic Surgery 4354 Latham St Ste 100, Riverside, CA 92501-1777 2005-06-14
1164915716 Orthopaedic Medical Group of Riverside, Inc. Orthopaedic Surgery 4354 Latham St Ste 100, Riverside, CA 92501-1777 2018-06-08
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Competitor

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City RIVERSIDE
Zip Code 92506

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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