MATTHEW ROUGHLEY – NPI #1801497771
Physician Assistant

MATTHEW ROUGHLEY is a physician assistant located in ORANGE, CA. NPPES has assigned the NPI number 1801497771 to MATTHEW ROUGHLEY on November 05, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 363AS0400X from the Health Care Provider Taxonomy code set, which is classified as Physician Assistant, specializing in Surgical

The NPI profile was previously updated about 3 years ago on Sep 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MATTHEW ROUGHLEY below.

NPI Profile for
MATTHEW ROUGHLEY

NPI Number
1801497771
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MATTHEW ROUGHLEY
Primary location
280 S MAIN ST STE 200
ORANGE, CA 92868-3852
Phone: (714) 937-2155 Fax: (714) 634-4321
1 Other location(s):
2575 Yorba Linda Blvd
Fullerton, CA 92831-1615
Phone: (661) 300-1328
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Sep 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363AS0400X
- Physician Assistant / Surgical (Primary)
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.