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

Mr. Michael M Roham, PA

Individual provider Medical Physician Assistant · NPI 1043516404

Mr. Michael M Roham, PA is a Medical Physician Assistant in San Clemente, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

302 N El Camino Real Ste 112
San Clemente, CA 92672-4776
Phone: (949) 489-9898
Fax: (949) 489-2569
Show map & directions

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

Additional practice locations (1)

  • 647 Camino De Los Mares, San Clemente, CA 92673-2825 — (949) 218-4868

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA15771 (CA)

Record details

NPI number1043516404
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 2, 2011
Last updated in NPPESMay 5, 2020
Certification dateMay 5, 2020

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