Individual provider Active NPI

Edward Romo, L.AC

  • Acupuncturist
  • Redlands, CA
National Provider Identifier
1285863472
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
11855 Issued in CA
Practice address
720 Brookside Ave Ste 105
Redlands, CA 92373-5189
Phone
(909) 264-0185
NPI assigned
Jul 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 11855 CA Primary

Addresses

Primary practice location

720 Brookside Ave Ste 105
Redlands, CA 92373-5189

Mailing address

2041 E Idahome St
West Covina, CA 91791-1412
Phone (909) 264-0185

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1285863472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 E IDAHOME ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911412",
            "telephone_number": "909-264-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 BROOKSIDE AVE STE 105",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735189",
            "telephone_number": "909-264-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMO",
        "first_name": "EDWARD",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "11855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.