Individual provider Active NPI

Romulo L Garcia

  • Nursing Home Administrator
  • Corona, CA
National Provider Identifier
1164054557
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
6027227740 Issued in CA
Practice address
1540 Heartland Way
Corona, CA 92881-4179
Phone
(951) 317-4773
NPI assigned
Feb 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X 6027227740 CA Primary

Addresses

Primary practice location

1540 Heartland Way
Corona, CA 92881-4179

Mailing address

2948 Sonrisa Dr
Corona, CA 92881-3916

Other practice location 1

1507 Chestnut Cir
Corona, CA 92881-4169
Phone (951) 317-4773

Other practice location 2

1117 Carter Ln
Corona, CA 92881-8673
Phone (951) 317-4773

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

LicenseStateTypeSpecialty
6027227740CAMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Assisted Living and Memory Care Home at Wildrose Ranch CurrentSince Aug 18, 2024 Accepting new patients
Inspirations Home Care IV CurrentSince Apr 3, 2022 Accepting new patients
Assisted Living by Inspirations Home Care in South Corona CurrentSince Aug 18, 2024 Accepting new patients
Tony Tran D O Inc Past Accepting new patients
Inspirations Home Care VI PastSince Apr 3, 2022 Accepting new patients
Inspirations Home Care VII PastSince Apr 3, 2022 Accepting new patients

Organizations & group practices 6

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1164054557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2948 SONRISA DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 HEARTLAND WAY",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928814179",
            "telephone_number": "951-317-4773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 Chestnut Cir",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928814169",
            "country_code": "US",
            "telephone_number": "951-317-4773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1117 Carter Ln",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928818673",
            "country_code": "US",
            "telephone_number": "951-317-4773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ROMULO",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CA",
            "license": "6027227740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.