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

Roxanne Stallworth, MD, MPH

Individual provider Internal Medicine Physician · NPI 1366678906

Roxanne Stallworth, MD, MPH is an Internal Medicine in Costa Mesa, California. Graduated from Albany Medical College of Union University in 2009, 17 years ago. Practices with Kelly E Fordyce MD a Medical Corporation, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Trained at
Albany Medical College of Union University
Licensed in
CA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

See every abbreviation used in this directory →

Practice location Address checks out

1640 Newport Blvd Ste 440
Costa Mesa, CA 92627-3786
Phone: (949) 791-8888
Show map & directions

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

Additional practice locations (1)

  • 777 Corporate Dr Ste 140, Ladera Ranch, CA 92694-2136 — (949) 409-4868

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A113706 (CA)

Record details

NPI number1366678906
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MPH
Sole proprietorYes
NPI enumeratedJune 10, 2009
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address1640 Newport Blvd Ste 440, Costa Mesa, CA 92627-3786

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2009 (17 years in practice)
Group practice Kelly E Fordyce Md A Medical Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Costa Mesa