Individual provider Active NPI

Omar Federico Castro Romo Vega, DDS

  • Dentist
  • Tulare, CA
National Provider Identifier
1174402630
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
112271 Issued in CA
Practice address
1263 N Cherry St
Tulare, CA 93274-2233
Phone
(559) 556-6082
Fax
(559) 556-6166
NPI assigned
Aug 28, 2025
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 112271 CA Primary

Addresses

Primary practice location

1263 N Cherry St
Tulare, CA 93274-2233

Mailing address

1263 N Cherry St
Tulare, CA 93274-2233
Phone (559) 556-6082

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
112271CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1174402630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742233",
            "telephone_number": "559-556-6082",
            "fax_number": "559-556-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742233",
            "telephone_number": "559-556-6082",
            "fax_number": "559-556-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO ROMO VEGA",
        "first_name": "OMAR FEDERICO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "112271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.