Active NPI
John Q. Romero, COTA/L
- Occupational Therapy Assistant
- Merced, CA
National Provider Identifier
1295200905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA3884
- Practice address
- 510 W 26TH St
Merced, CA 95340-2804 - Phone
- (209) 723-2911
- NPI assigned
- Oct 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA3884 | CA | Primary |
Addresses
Primary practice location
510 W 26TH St
Merced, CA 95340-2804
Mailing address
200 Seneca St Apt 124
Merced, CA 95340-1472
Phone (209) 769-6486
Other practice location 1
2424 M St
Merced, CA 95340-2808
Phone (209) 723-4224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QIV010224556 | Other | CA | BC/BS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA3884 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1295200905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SENECA ST APT 124",
"city": "MERCED",
"state": "CA",
"postal_code": "953401472",
"telephone_number": "209-769-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 W 26TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953402804",
"telephone_number": "209-723-2911"
}
],
"practiceLocations": [
{
"address_1": "2424 M St",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953402808",
"country_code": "US",
"telephone_number": "209-723-4224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMERO",
"first_name": "JOHN",
"middle_name": "Q.",
"name_prefix": "Mr.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-09",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CA",
"license": "OTA3884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "QIV010224556",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.