Active NPI
Romulo M Romero, P.A-C
- Family Medicine Physician
- San Jose, CA
National Provider Identifier
1467515809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A36372
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA191904 | Medicaid | CA | |
| 00A252348 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A36372 | CA | MD | Family Medicine Physician |
| PA10741 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- San Jose, CA
- NPI 1972975761
-
- Family Medicine Physician
- San Jose, CA
- NPI 1184787582
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.