Active NPI
Romario Luckhoo
- Rehabilitation Practitioner
- Davis, CA
National Provider Identifier
1366310773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 6071657735
- Practice address
- 24321 County Road 96
Davis, CA 95616-9532 - Phone
- (530) 753-1653
- NPI assigned
- Oct 27, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 6071657735 | CA | Primary |
| Day Training/Habilitation Specialist | 373H00000X | CA |
Addresses
Primary practice location
24321 County Road 96
Davis, CA 95616-9532
Mailing address
26 Simmons Way Apt 3
Davis, CA 95616-2433
Phone (530) 758-2160
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 |
|---|---|---|---|
| 6071657735 | CA | MD | Rehabilitation Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yolo Community Care Continuum | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba The Farmhouse
- Mental Illness Community Based Residential Treatment Facility
- Davis, CA
- NPI 1235359423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1366310773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 SIMMONS WAY APT 3",
"city": "DAVIS",
"state": "CA",
"postal_code": "956162433",
"telephone_number": "530-758-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24321 COUNTY ROAD 96",
"city": "DAVIS",
"state": "CA",
"postal_code": "956169532",
"telephone_number": "530-753-1653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKHOO",
"first_name": "ROMARIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-27",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "6071657735",
"primary": true
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.