Individual provider Active NPI

Natalia Romanoff, PA

  • Physician Assistant
  • Fresno, CA
National Provider Identifier
1073057568
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66557 Issued in CA
Practice address
1344 W Clinton Ave
Fresno, CA 93705-3805
Phone
(559) 741-4518
NPI assigned
Dec 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA66557 CA Primary
Physician Assistant 363A00000X 029984 NY

Addresses

Primary practice location

1344 W Clinton Ave
Fresno, CA 93705-3805

Mailing address

1344 W Clinton Ave
Fresno, CA 93705-3805
Phone (559) 741-4518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230811002212 NY Practitioner - Physician Assistant 4284901075 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Whitney M. Young, Jr. Health Center, Inc. CurrentSince Jul 31, 2023 Accepting new patients
Whitney M Young Jr Health Center Inc CurrentSince Jul 31, 2023 Accepting new patients
Alegent Creighton Clinic CurrentSince Jun 13, 2017 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Whitney M. Young Jr. Health Center, Inc. Past Accepting new patients
Whitney M. Young, Jr. Health Center, Inc. Past Accepting new patients

Locations

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

920 Lark Dr
Albany, NY 12207
Phone (518) 427-0102

Interoperability endpoints

  • Direct secure messaging: natalia.romanoff.1@22063.direct.athenahealth.com
  • Direct secure messaging: natalia.romanoff@direct.nmhs.org

Organizations & group practices 8

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": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1073057568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 W CLINTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937053805",
            "telephone_number": "559-741-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 W CLINTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937053805",
            "telephone_number": "559-741-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANOFF",
        "first_name": "NATALIA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66557",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "029984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.