Active NPI
Jessica Diane Katherine Romero
- Peer Specialist
- Los Angeles, CA
National Provider Identifier
1235720988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 8616 La Tijera Blvd Ste 200
Los Angeles, CA 90045-3945 - Phone
- (310) 337-1550
- NPI assigned
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
8616 La Tijera Blvd Ste 200
Los Angeles, CA 90045-3945
Mailing address
1121 Obispo Ave Unit 107
Long Beach, CA 90804-3874
Phone (213) 709-6856
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.pacsla.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1235720988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 OBISPO AVE UNIT 107",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043874",
"telephone_number": "213-709-6856",
"fax_number": "323-604-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8616 LA TIJERA BLVD STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453945",
"telephone_number": "310-337-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "JESSICA",
"middle_name": "DIANE KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-26",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.pacsla.org",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "8616 La Tijera Blvd Ste 200",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900453945",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.