Active NPI
Jean Franco Romualdez
- Marriage & Family Therapist
- Tustin, CA
National Provider Identifier
1114394012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 134933
- Practice address
- 13611 Fairmont Way
Tustin, CA 92780-1810 - Phone
- (408) 531-5298
- NPI assigned
- Aug 26, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 134933 | CA | Primary |
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
13611 Fairmont Way
Tustin, CA 92780-1810
Mailing address
13611 Fairmont Way
Tustin, CA 92780-1810
Phone (408) 531-5298
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100946 | Other | CA | CALIFORNIA BOARD OF BEHAVIORAL SCIENCES |
Other names 1
- Franco Romualdez
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134933 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Play Therapy & Family Therapy, Inc. | Current | Accepting new patients | |
| Grow Healthcare Group PC | Marriage & Family Therapist | Current | Accepting new patients |
| Childnet Youth and Family Services Inc | Past | Accepting new patients | |
| Allyson Wells MD Inc | Past | Accepting new patients |
Locations
18 Technology Dr
Ste 118
Irvine, CA 92618
Phone (949) 322-7364
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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.
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
Marriage & Family Therapist
-
- Adolescent and Children Mental Health Clinic/Center
- Irvine, CA
- NPI 1003563404
-
- Child & Adolescent Psychiatry Physician
- Long Beach, CA
- NPI 1770181257
-
- Community/Behavioral Health Agency
- Long Beach, CA
- NPI 1760519219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1114394012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13611 FAIRMONT WAY",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927801810",
"telephone_number": "408-531-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13611 FAIRMONT WAY",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927801810",
"telephone_number": "408-531-5298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMUALDEZ",
"first_name": "JEAN FRANCO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-26",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "134933",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF BEHAVIORAL SCIENCES",
"identifier": "100946",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FRANCO",
"last_name": "ROMUALDEZ",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.