Active NPI
Rosa Romano Mendoza, D.D.S.
- General Practice Dentistry
- Riverside, CA
National Provider Identifier
1548529951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33656
- Practice address
- 6850 Brockton Ave Ste 106
Riverside, CA 92506-3814 - Phone
- (951) 683-2006
- NPI assigned
- May 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 33656 | CA | Primary |
Addresses
Primary practice location
6850 Brockton Ave Ste 106
Riverside, CA 92506-3814
Mailing address
6850 Brockton Ave Ste 106
Riverside, CA 92506-3814
Phone (951) 683-2006
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000033656CA | Other | CA | DELTA DENTAL OF CALIFORNIA |
| B33656-01 | Medicaid | CA |
Other names 1
- Dr. Rosa Maria Romano
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33656 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1548529951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6850 BROCKTON AVE STE 106",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063814",
"telephone_number": "951-683-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 BROCKTON AVE STE 106",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063814",
"telephone_number": "951-683-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "ROSA",
"middle_name": "ROMANO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-07",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "33656",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF CALIFORNIA",
"identifier": "000033656CA",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B33656-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROSA",
"last_name": "ROMANO",
"middle_name": "MARIA",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.