Individual provider Active NPI

Rebecca Eileen Romero Huber, M.D.

  • Child & Adolescent Psychiatry Physician
  • El Cajon, CA
National Provider Identifier
1174960686
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A133711 Issued in CA
Practice address
680 Fletcher Pkwy Ste 200
El Cajon, CA 92020-2500
Phone
(619) 515-2365
Fax
(619) 269-0598
NPI assigned
May 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 133711 CA
Child & Adolescent Psychiatry Physician 2084P0804X A133711 CA Primary

Addresses

Primary practice location

680 Fletcher Pkwy Ste 200
El Cajon, CA 92020-2500

Mailing address

823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2365

Other practice location 1

9500 Gilman Dr
9116A
LA Jolla, CA 92093-5004
Phone (858) 534-4040

Other practice location 2

3665 Kearny Villa Rd Ste 101
San Diego, CA 92123-1954
Phone (858) 966-5832

Other names 1

  • Rebecca E Romero Former name

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
I20200219000681 CA Practitioner - Psychiatry 0446687172 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
133711CAMDPsychiatry Physician
A133711CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Jan 29, 2020 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jan 29, 2020 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince May 17, 2020 Accepting new patients
Ucsd Past Accepting new patients
UC San Diego Health Past Accepting new patients

Locations

680 Fletcher Pkwy
Ste 200
El Cajon, CA 92020
Phone (619) 515-2365

525 E Main St
El Cajon, CA 92020
Phone (619) 334-3787

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Organizations & group practices 5

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": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1174960686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GATEWAY CENTER WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024541",
            "telephone_number": "619-515-2365",
            "fax_number": "619-269-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 FLETCHER PKWY STE 200",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202500",
            "telephone_number": "619-515-2365",
            "fax_number": "619-269-0598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Gilman Dr",
            "address_2": "9116A",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920935004",
            "country_code": "US",
            "telephone_number": "858-534-4040",
            "fax_number": "858-822-0231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3665 Kearny Villa Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231954",
            "country_code": "US",
            "telephone_number": "858-966-5832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBER",
        "first_name": "REBECCA",
        "middle_name": "EILEEN ROMERO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "133711",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A133711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "ROMERO",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.