NPIMap

Organization Active NPI

Clinica Monsignor Oscar a. Romero

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1316199847
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48551 Issued in CA
Legal business name
CLINICA MONSIGNOR OSCAR A. ROMERO
Practice address
123 S Alvarado St
Los Angeles, CA 90057-2201
Phone
(213) 201-2749
Fax
(213) 201-2600
NPI assigned
Oct 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Sandra Rossato, PHARMD
Title
Executive Director
Phone
(213) 201-2737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY48551 CA Primary

Addresses

Primary practice location

123 S Alvarado St
Los Angeles, CA 90057-2201

Mailing address

123 S Alvarado St
Los Angeles, CA 90057-2201
Phone (213) 201-2749

Other identifiers 2

IdentifierTypeStateIssuer
1316199847MedicaidCA
2117543OtherPK

Other names 1

  • Clinica Msr Oscar A Romero Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinica MSR Oscar a Rom12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

123 S Alvarado St
Los Angeles, CA 90057
Phone (213) 989-7700

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1316199847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572201",
            "telephone_number": "213-201-2749",
            "fax_number": "213-201-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572201",
            "telephone_number": "213-201-2749",
            "fax_number": "213-201-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MONSIGNOR OSCAR A. ROMERO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "ROSSATO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "213-201-2737",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316199847",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117543",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Msr Oscar A Romero",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 28, 2017; 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.