Active NPI
Jared Antonio Garcia Romero
- Social Worker
- Claremont, CA
National Provider Identifier
1154812865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 106052
- Practice address
- 220 S Indian Hill Blvd Ste D
Claremont, CA 91711-4929 - Phone
- (951) 405-2561
- NPI assigned
- May 29, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 106052 | CA | Primary |
Addresses
Primary practice location
220 S Indian Hill Blvd Ste D
Claremont, CA 91711-4929
Mailing address
220 S Indian Hill Blvd Ste D
Claremont, CA 91711-4929
Phone (951) 405-2561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM0800X | Other | 10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106052 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1154812865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S INDIAN HILL BLVD STE D",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917114929",
"telephone_number": "951-405-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S INDIAN HILL BLVD STE D",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917114929",
"telephone_number": "951-405-2561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA ROMERO",
"first_name": "JARED",
"middle_name": "ANTONIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-29",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "106052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "10",
"identifier": "101YM0800X",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Claremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.