Organization Active NPI

John Romano MD Inc

  • Plastic Surgery Physician
  • Fremont, CA
National Provider Identifier
1447523014
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G47782 Issued in CA
Legal business name
JOHN ROMANO MD INC
Practice address
39380 Civic Center Dr Ste B
Fremont, CA 94538-6719
Phone
(510) 794-5010
Fax
(510) 794-5143
NPI assigned
Feb 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
John A Romano, MD
Title
President
Phone
(510) 794-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X G47782 CA Primary

Addresses

Primary practice location

39380 Civic Center Dr Ste B
Fremont, CA 94538-6719

Mailing address

39380 Civic Center Dr Ste B
Fremont, CA 94538-6719
Phone (510) 794-5010

Other identifiers 1

IdentifierTypeStateIssuer
00G477821MedicaidCA

National Provider Directory

National Provider Directory

Locations

686 Mowry Ave
Fremont, CA 94536
Phone (510) 794-5010

39380 Civic Center Dr
Ste B
Fremont, CA 94538
Phone (510) 794-5010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1447523014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39380 CIVIC CENTER DR STE B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945386719",
            "telephone_number": "510-794-5010",
            "fax_number": "510-794-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39380 CIVIC CENTER DR STE B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945386719",
            "telephone_number": "510-794-5010",
            "fax_number": "510-794-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ROMANO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-794-5010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G47782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G477821",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.