Individual provider Active NPI

Romulo M Romero, P.A-C

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1467515809
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A36372 Issued in CA
Practice address
2060 Aborn Rd
San Jose, CA 95121-1584
Phone
(408) 223-9055
Fax
(408) 223-7490
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10741 CA
Family Medicine Physician 207Q00000X A36372 CA Primary

Addresses

Primary practice location

2060 Aborn Rd
San Jose, CA 95121-1584

Mailing address

2060 Aborn Rd
San Jose, CA 95121-1584
Phone (408) 223-9055

Other identifiers 2

IdentifierTypeStateIssuer
CA191904MedicaidCA
00A252348MedicaidCA

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
A36372CAMDFamily Medicine Physician
PA10741CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dan D Hopner MD Romulo M Romero PA Family Medicine Current Accepting new patients
E. Leslie Weeks MD R. Romero P.a Family Medicine Past Accepting new patients

Locations

2060 Aborn Rd
Ste 100
San Jose, CA 95121
Phone (408) 223-9055

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1467515809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 ABORN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211584",
            "telephone_number": "408-223-9055",
            "fax_number": "408-223-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 ABORN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211584",
            "telephone_number": "408-223-9055",
            "fax_number": "408-223-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "ROMULO",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA10741",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A36372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA191904",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A252348",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.