Individual provider Active NPI

Adan de Jesus Romero Lopez, MD

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1033520002
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A144650 Issued in CA
Practice address
12021 Wilmington Ave BLDG 11
Los Angeles, CA 90059-3019
Phone
(424) 529-6755
NPI assigned
May 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A144650 CA Primary

Addresses

Primary practice location

12021 Wilmington Ave BLDG 11
Los Angeles, CA 90059-3019

Mailing address

1155 N Fuller Ave Apt 102
West Hollywood, CA 90046-5056
Phone (661) 447-7632

Other practice location 1

5205 Melrose Ave
Los Angeles, CA 90038-3144
Phone (323) 623-1990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170821001353 CA Practitioner - Family Practice 2062708233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

135 E Compton Blvd
Compton, CA 90220-2410
Phone (424) 338-8790

2215 W Rosecrans Ave
Compton, CA 90222-3856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A144650CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Community Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Martin Luther King Jr Community Medical Foundation Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Superior Hospitalist Medical Group Inc Family Medicine CurrentSince Feb 5, 2018 Accepting new patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Past Accepting new patients

Locations

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

135 E Compton Blvd
Compton, CA 90220
Phone (424) 296-3800

12021 Wilmington Ave
Bldg 11
Los Angeles, CA 90059
Phone (424) 338-8000

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1033520002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N FULLER AVE APT 102",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465056",
            "telephone_number": "661-447-7632",
            "fax_number": "424-429-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 WILMINGTON AVE BLDG 11",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593019",
            "telephone_number": "424-529-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5205 Melrose Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900383144",
            "country_code": "US",
            "telephone_number": "323-623-1990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO LOPEZ",
        "first_name": "ADAN DE JESUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-13",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A144650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.