Organization Active NPI

Rowena Lagleva Romero

  • Dental Clinic/Center
  • Pacifica, CA
National Provider Identifier
1124761333
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROWENA LAGLEVA ROMERO
Practice address
777 Hickey Blvd
Pacifica, CA 94044-1214
Phone
(650) 359-7720
Fax
(650) 359-7785
NPI assigned
Apr 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Rowena Lagleva RomeroNPI 1184090235
Title
DDS
Phone
(650) 787-8976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

777 Hickey Blvd
Pacifica, CA 94044-1214

Mailing address

1102 E 16TH Ave
San Mateo, CA 94402-2139
Phone (650) 787-8976

Other names 1

  • FAIRMONT DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

777 Hickey Blvd
Pacifica, CA 94044
Phone (650) 359-7720

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1124761333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 E 16TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022139",
            "telephone_number": "650-787-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HICKEY BLVD",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940441214",
            "telephone_number": "650-359-7720",
            "fax_number": "650-359-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWENA LAGLEVA ROMERO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "ROWENA",
        "authorized_official_middle_name": "LAGLEVA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "650-787-8976"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIRMONT DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pacifica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.