Jeanette Eugenia Mendoza Rombaoa, MLT NCPT1

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

License

CPT122027 Issued in CA

Practice address

26525 Gading Rd
Unit #5
Hayward, CA 94544

Phone

(510) 940-0695

NPI assigned

Oct 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1447439526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26525 GADING RD",
            "address_2": "UNIT #5",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94544",
            "telephone_number": "510-940-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26525 GADING RD",
            "address_2": "UNIT #5",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94544",
            "telephone_number": "510-940-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMBAOA",
        "first_name": "JEANETTE EUGENIA",
        "middle_name": "MENDOZA",
        "name_prefix": "Ms.",
        "credential": "MLT NCPT1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "CA",
            "license": "CPT122027",
            "primary": true
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": "22470804576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Rogers, PA-C
• Jacob Ryan Rojas
• Roman Catholic Bishop of Oakland, a Corporation Sole
• Abigail Aguilar Roman
• Angelica Roman
• Eunice Romeo
• Mariela Romero Vazquez
• Daniela Romero-Escorcia
• Eunice Ester Romero
• Maria Carmen Romero, MASSAGE THERAPIST

• Medical Laboratory Technician in Hayward, CA
• Providers in Hayward, CA by specialty
• Medical Laboratory Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.