Active NPI
Raul Romo-Romo
- Student in an Organized Health Care Education/Training Program
- Oakland, CA
National Provider Identifier
1538518436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1266 14TH St
Oakland, CA 94607-2205 - Phone
- (510) 273-4700
- NPI assigned
- Jun 10, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1266 14TH St
Oakland, CA 94607-2205
Mailing address
1922 Brookside Dr
San Pablo, CA 94806-3574
Phone (510) 367-0532
Other practice location 1
205 39th St
Richmond, CA 94805-2212
Phone (510) 412-5930
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desarrollo Familiar | Past | Accepting new patients | |
| Desarrollo Familiar, Inc | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Richmond, CA
- NPI 1376692459
-
- Local Education Agency (LEA)
- Richmond, CA
- NPI 1548131691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1538518436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 BROOKSIDE DR",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063574",
"telephone_number": "510-367-0532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1266 14TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946072205",
"telephone_number": "510-273-4700"
}
],
"practiceLocations": [
{
"address_1": "205 39th St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "CA",
"postal_code": "948052212",
"country_code": "US",
"telephone_number": "510-412-5930",
"fax_number": "510-412-0567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMO-ROMO",
"first_name": "RAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.