Active NPI
Samuel John Romeo Jr., MD
- Family Medicine Physician
- Turlock, CA
National Provider Identifier
1225131295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A66583
- Practice address
- 1801 Colorado Ave
Ste 120
Turlock, CA 95382 - Phone
- (209) 216-3456
- Fax
- (209) 216-3462
- NPI assigned
- Sep 6, 2006
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A66583 | CA | Primary |
Addresses
Primary practice location
1801 Colorado Ave
Ste 120
Turlock, CA 95382
Mailing address
1801 Colorado Ave
Ste 120
Turlock, CA 95382
Phone (209) 216-3456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A66583 | Other | CA | LIC |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66583 | CA | MD | Pharmacist |
| A66583 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Romeo Medical Corp | Current | Accepting new patients |
Locations
1801 Colorado Ave
Ste 120
Turlock, CA 95382
Phone (209) 216-3456
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sports Medicine (Family Medicine) Physician
- Turlock, CA
- NPI 1316963721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1225131295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 COLORADO AVE",
"address_2": "STE 120",
"city": "TURLOCK",
"state": "CA",
"postal_code": "95382",
"telephone_number": "209-216-3456",
"fax_number": "209-216-3462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 COLORADO AVE",
"address_2": "STE 120",
"city": "TURLOCK",
"state": "CA",
"postal_code": "95382",
"telephone_number": "209-216-3456",
"fax_number": "209-216-3462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMEO",
"first_name": "SAMUEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A66583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC",
"identifier": "A66583",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.