Individual provider Active NPI

John Christopher Romano, M.D

  • General Practice Physician
  • Palm Desert, CA
National Provider Identifier
1134330558
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G74689 Issued in CA
Practice address
73211 Fred Waring Dr
Suite 100
Palm Desert, CA 92260-2871
Phone
(760) 568-4939
Fax
(760) 773-0001
NPI assigned
May 25, 2007
Last updated
Dec 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X G 74689 CA
General Practice Physician 208D00000X G74689 CA Primary
Sports Medicine (Family Medicine) Physician 207QS0010X G74689 CA
Adult Medicine Physician 207QA0505X G74689 CA

Addresses

Primary practice location

73211 Fred Waring Dr
Suite 100
Palm Desert, CA 92260-2871

Mailing address

73211 Fred Waring Dr
Suite 100
Palm Desert, CA 92260-2871
Phone (760) 568-4939

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121219000134 CA Practitioner - General PracticePractitioner - Family PracticePractitioner - Sports MedicinePractitioner - Other (Physician) 1658523733 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
A Gregory Caruso MD Inc CurrentSince Dec 26, 2012 Accepting new patients
Coastal Communities Physician Network, Inc. CurrentSince Oct 14, 2024 Accepting new patients
Bakersfield Family Medical Group Inc Adult Medicine Past Accepting new patients
Eisenhower Medical Center PastSince Dec 26, 2012 Accepting new patients

Locations

73211 Fred Waring Dr
Ste 100
Palm Desert, CA 92260
Phone (760) 341-5414

35 Casa St
Ste 170
Sn Luis Obisp, CA 93405
Phone (805) 540-5035

325 Posada Ln
Templeton, CA 93465
Phone (805) 239-0644

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: john.romano.p8@direct.bfmc.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1134330558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73211 FRED WARING DR",
            "address_2": "SUITE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602871",
            "telephone_number": "760-568-4939",
            "fax_number": "760-773-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73211 FRED WARING DR",
            "address_2": "SUITE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602871",
            "telephone_number": "760-568-4939",
            "fax_number": "760-773-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "JOHN",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G 74689",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G74689",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "G74689",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G74689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.