Active NPI
Manuel Romero, PA-C
- Physician Assistant
- Hanford, CA
National Provider Identifier
1225113087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10948
- Practice address
- 1025 N Douty St
Hanford, CA 93230-3722 - Phone
- (559) 583-2254
- Fax
- (559) 583-2195
- NPI assigned
- Oct 27, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10948 | CA | Primary |
Addresses
Primary practice location
1025 N Douty St
Hanford, CA 93230-3722
Mailing address
1479 W Lacey Blvd
Hanford, CA 93230-5906
Phone (559) 583-4617
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10948 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1225113087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1479 W LACEY BLVD",
"city": "HANFORD",
"state": "CA",
"postal_code": "932305906",
"telephone_number": "559-583-4617",
"fax_number": "559-583-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 N DOUTY ST",
"city": "HANFORD",
"state": "CA",
"postal_code": "932303722",
"telephone_number": "559-583-2254",
"fax_number": "559-583-2195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "MANUEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA10948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.