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

Matthew Roughley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801497771

Matthew Roughley is a Physician Assistant in Orange, California. Qualified in 2021, 5 years ago. Practices with Orthopaedic Specialty Institute Medical Group of Orange County, a 63-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2020
Specialties on file
2

Practice location Address checks out

280 S Main St Ste 200
Orange, CA 92868-3852
Phone: (714) 937-2155
Fax: (714) 634-4321
Show map & directions

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

Additional practice locations (1)

  • 2575 Yorba Linda Blvd, Fullerton, CA 92831-1615 — (661) 300-1328

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801497771
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 5, 2020
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023
Mailing address280 S Main St Ste 200, Orange, CA 92868-3852

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Orthopaedic Specialty Institute Medical Group Of Orange County — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Orange