Individual provider Active NPI

Glenda Lee Romero-Urquhart, M.D.

  • Diagnostic Radiology Physician
  • Santa Ana, CA
National Provider Identifier
1508801499
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A72018 Issued in CA
Practice address
1100 N. Tustin Ave
Santa Ana, CA 92705
Phone
(714) 835-6055
Fax
(714) 835-3287
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X A72018 CA
Diagnostic Radiology Physician 2085R0202X A72018 CA Primary
Diagnostic Ultrasound Physician 2085U0001X A72018 CA

Addresses

Primary practice location

1100 N. Tustin Ave
Santa Ana, CA 92705

Mailing address

22691 Burlwood
Mission Viejo, CA 92692
Phone (714) 835-6055

Other names 1

  • Glenda Lee Romero Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060727000296 CA Practitioner - Diagnostic Radiology 7911992953 Reassigns benefits to 5 organizations
I20220428001771 CO Practitioner - Diagnostic Radiology 7911992953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tufts University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Penrad Imaging LLCGroup PAC ID 1850387598, 26 clinicians
Colorado Springs Radiologists PCGroup PAC ID 6901890094, 27 clinicians

Practice addresses (Care Compare)

1350 Kelly Johnson Blvd
Apt 315
Colorado Springs, CO 80920-4184
Phone (585) 218-8006

3050 N Circle Dr
Colorado Springs, CO 80909-1175
Phone (719) 593-1799

3715 E S St
Long Beach, CA 90805-4521
Phone (562) 602-0700

6001 E Woodman Rd
Colorado Springs, CO 80923-2601
Phone (719) 265-3775

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • St Francis Hospital - Interquest Hospital, Colorado Springs, CO, CCN 060133

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72018CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
A72018CAMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Dec 16, 2017 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 16, 2017 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Beverly Radiology Medical Group Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 10, 2018 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Body Imaging Past Accepting new patients
Beverly Radiology Medical Group Diagnostic Radiology Past Accepting new patients
Santa Ana Tustin Radiology Medical Group Body Imaging Past Accepting new patients

Locations (25 of 38)

947 S Anaheim Blvd
Ste 130
Anaheim, CA 92805
Phone (714) 758-9800

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

19066 Magnolia St
Huntington Beach, CA 92646
Phone (714) 378-2225

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

16300 Sand Canyon Ave
Ste 102
Irvine, CA 92618
Phone (949) 753-0900

14150 Culver Dr
Ste 101
Irvine, CA 92604
Phone (949) 272-2083

27882 Forbes Rd
Ste 120
Laguna Niguel, CA 92677
Phone (949) 272-2200

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

2925 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 421-2757

4910 Airport Plaza Dr
Long Beach, CA 90815
Phone (562) 429-2473

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

1510 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2851

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1508801499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22691 BURLWOOD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92692",
            "telephone_number": "714-835-6055",
            "fax_number": "714-835-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N. TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-835-6055",
            "fax_number": "714-835-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO-URQUHART",
        "first_name": "GLENDA",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A72018",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A72018",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "A72018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENDA",
            "last_name": "ROMERO",
            "middle_name": "LEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.