Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Roxanne Cano Mickelson, MD

Individual provider Otolaryngology Physician · NPI 1295081248

Dr. Roxanne Cano Mickelson, MD is an Otolaryngology in Orange, California. Graduated from University of Texas Medical School at Houston in 2012, 14 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California, Idaho and Texas.

Years since qualifying
14
Trained at
University of Texas Medical School at Houston
Licensed in
CA, ID, TX
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 The City Dr S
Orange, CA 92868-3201
Phone: (714) 456-7890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 34800 Bob Wilson Dr, San Diego, CA 92134-1098 — (619) 553-9600
  • 625 Pole Line Rd W Ste 2b, Twin Falls, ID 83301-4270 — (208) 814-7350

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence C206957 (CA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence P8160 (TX)
Otolaryngology Physician Taxonomy 207Y00000X · Licence M-17464 (ID)

Record details

NPI number1295081248
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 27, 2012
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address34800 Bob Wilson Dr, San Diego, CA 92134-1098

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 2012 (14 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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