Individual provider Active NPI

Jean Franco Romualdez

  • Marriage & Family Therapist
  • Tustin, CA
National Provider Identifier
1114394012
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
134933 Issued in CA
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

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100946OtherCACALIFORNIA BOARD OF BEHAVIORAL SCIENCES

Other names 1

  • Franco Romualdez Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319003498 CA Practitioner - Marriage and Family Therapist 7315384880 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134933CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Play Therapy & Family Therapy, Inc. CurrentSince Feb 12, 2023 Accepting new patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Feb 14, 2024 Accepting new patients
Childnet Youth and Family Services Inc Past Accepting new patients
Allyson Wells MD Inc PastSince Oct 19, 2020 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.

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

Verify at the official NPI Registry.