Active NPI
Romeo Felito Ang Jr., M.D.
- Internal Medicine Physician
- Blythe, CA
National Provider Identifier
1023215191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A54060
- Practice address
- 19025 Wileys Well Rd
Blythe, CA 92225-2287 - Phone
- (760) 922-5300
- Fax
- (760) 922-9760
- NPI assigned
- Jun 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A54060 | CA | Primary |
Addresses
Primary practice location
19025 Wileys Well Rd
Blythe, CA 92225-2287
Mailing address
19025 Wileys Well Rd
Blythe, CA 92225-2287
Phone (760) 922-5300
Other names 1
- Dr. Romeo Ang Jr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A54060 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chuckawala Vallwy State Prison | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prison Health Clinic/Center
- Blythe, CA
- NPI 1356701494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023215191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19025 WILEYS WELL RD",
"city": "BLYTHE",
"state": "CA",
"postal_code": "922252287",
"telephone_number": "760-922-5300",
"fax_number": "760-922-9760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19025 WILEYS WELL RD",
"city": "BLYTHE",
"state": "CA",
"postal_code": "922252287",
"telephone_number": "760-922-5300",
"fax_number": "760-922-9760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANG",
"first_name": "ROMEO FELITO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A54060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROMEO",
"last_name": "ANG",
"prefix": "DR.",
"suffix": "JR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Blythe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.