Active NPI
Jorge Andres Romero, MFT
- Marriage & Family Therapist
- Fresno, CA
National Provider Identifier
1417089467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 40745
- Practice address
- 1225 M St
Fresno, CA 93721-1805 - Phone
- (559) 600-9300
- NPI assigned
- Mar 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 40745 | CA | Primary |
Addresses
Primary practice location
1225 M St
Fresno, CA 93721-1805
Mailing address
1225 M St
Fresno, CA 93721-1805
Phone (559) 600-9300
Other practice location 1
5100 N 6th St Ste 151
Fresno, CA 93710-7515
Phone (559) 221-0672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFC 40745 | Other | CA | BBS LICENSE # |
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 |
|---|---|---|---|
| MFC 40745 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1417089467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 M ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211805",
"telephone_number": "559-600-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 M ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211805",
"telephone_number": "559-600-9300"
}
],
"practiceLocations": [
{
"address_1": "5100 N 6th St Ste 151",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937107515",
"country_code": "US",
"telephone_number": "559-221-0672",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMERO",
"first_name": "JORGE",
"middle_name": "ANDRES",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 40745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBS LICENSE #",
"identifier": "MFC 40745",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.