Individual provider Active NPI

Geraldin Romis, NP-C, RN, PA-C

  • Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1053819961
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95008217 Issued in CA
Practice address
746 The Alameda Ste 10
San Jose, CA 95126-3178
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 818501 CA
Nurse Practitioner 363L00000X 95008217 CA Primary

Addresses

Primary practice location

746 The Alameda Ste 10
San Jose, CA 95126-3178

Mailing address

2539 Glen Kew CT
San Jose, CA 95148-4131
Phone (408) 603-6554

Other practice location 1

2539 Glen Kew Ct
San Jose, CA 95148-4131
Phone (408) 603-6554

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181108002765 CA Practitioner - Nurse Practitioner 0345594404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

746 The Alameda
Suite 10
San Jose, CA 95126-3178
Phone (408) 228-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Physician Assistant, Registered Nurse

State licenses

LicenseStateTypeSpecialty
818501CAMDRegistered Nurse
55457CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc. CurrentSince Jan 13, 2025 Accepting new patients
One Medical Group, Inc CurrentSince Jan 13, 2025 Accepting new patients

Locations

590 Forest Ave
Palo Alto, CA 94301
Phone (650) 288-4080

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

1390 Market St
Ste 109
San Francisco, CA 94102
Phone (415) 918-5766

746 The Alameda
Ste 10
San Jose, CA 95126
Phone (408) 228-1020

Organizations & group practices 3

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1053819961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 GLEN KEW CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484131",
            "telephone_number": "408-603-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 THE ALAMEDA STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263178",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2539 Glen Kew Ct",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951484131",
            "country_code": "US",
            "telephone_number": "408-603-6554",
            "fax_number": "408-603-6554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMIS",
        "first_name": "GERALDIN",
        "name_prefix": "Ms.",
        "credential": "NP-C, RN, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "818501",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95008217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.