OrganizationActive
Tim Roham D.O. Inc
NPI 1124354592 · Clinic/Center · San Clemente, CA
Tim Roham D.O. Inc is a Clinic/Center organization in San Clemente, CA (NPI 1124354592).
Provider details
- NPI number
- 1124354592
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Roham, Physician(949) 248-1900
- License
- 29667 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
629 Camino De Los Mares
Suite 103
San Clemente, CA 92673-2834
Phone: (949) 248-1900
Fax: (949) 248-1956
Street-level locationGet directions
Mailing address
629 Camino De Los Mares
San Clemente, CA 92673-2834
Other names (DBA / former)
- Doing business as
- Advance Laser & Cosmetic
Registry dates
- Enumerated
- 2009-10-20
- Last updated
- 2009-10-20
Frequently asked questions
- What is Tim Roham D.O. Inc's NPI number?
- Tim Roham D.O. Inc's National Provider Identifier (NPI) is 1124354592, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tim Roham D.O. Inc?
- Tim Roham D.O. Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tim Roham D.O. Inc located?
- Tim Roham D.O. Inc's practice location on file with NPPES is 629 Camino De Los Mares, San Clemente, CA 92673-2834.
- What is Tim Roham D.O. Inc's phone number?
- The practice phone number listed in the NPPES registry for Tim Roham D.O. Inc is (949) 248-1900.
- Who is the authorized official for Tim Roham D.O. Inc?
- The authorized official listed on Tim Roham D.O. Inc's NPPES record is Timothy Roham, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tim Roham D.O. Inc's NPI active?
- Yes — Tim Roham D.O. Inc's NPI (1124354592) is active in the NPPES registry as of the last update on 2009-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.