Active NPI
Romero Advanced Dermatology Inc.
- Dermatology Physician
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ROMERO ADVANCED DERMATOLOGY INC.
- Practice address
- 24953 Paseo de Valencia BLDG B
Unit 16B
Laguna Hills, CA 92653-4342 - Phone
- (805) 822-3732
- Fax
- (949) 203-2863
- NPI assigned
- Nov 7, 2022
- Last updated
- Nov 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judith B. Romero
- Title
- President
- Phone
- (949) 235-3522
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | Primary |
Addresses
Primary practice location
24953 Paseo de Valencia BLDG B
Unit 16B
Laguna Hills, CA 92653-4342
Mailing address
24953 Paseo de Valencia BLDG B
Unit 16B
Laguna Hills, CA 92653-4342
Phone (805) 822-3732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2280192 | Romero Advanced Dermatology Inc | Certificate of waiver | May 6, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Laguna Hills, CA
- NPI 1710073697
-
- Family Medicine Physician
- Laguna Hills, CA
- NPI 1609820083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669075200000",
"number": "1447968722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24953 PASEO DE VALENCIA BLDG B",
"address_2": "UNIT 16B",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534342",
"telephone_number": "805-822-3732",
"fax_number": "949-203-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24953 PASEO DE VALENCIA BLDG B",
"address_2": "UNIT 16B",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534342",
"telephone_number": "805-822-3732",
"fax_number": "949-203-2863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROMERO ADVANCED DERMATOLOGY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A",
"authorized_official_last_name": "ROMERO",
"authorized_official_first_name": "JUDITH",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-235-3522"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.