Individual provider Active NPI

Jennifer Maricela Romo, MD

  • Family Medicine Physician
  • Clovis, CA
National Provider Identifier
1558011411
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A198304 Issued in CA
Practice address
2086 Shaw Ave
Clovis, CA 93611-4176
Phone
(559) 603-7400
Fax
(559) 603-7266
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A198304 CA Primary

Addresses

Primary practice location

2086 Shaw Ave
Clovis, CA 93611-4176

Mailing address

PO Box 889442
Los Angeles, CA 90088-9442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250718003886 CA Practitioner - Family Practice 3375925100 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A198304CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partners CurrentSince Aug 17, 2026 Accepting new patients
Clinica Sierra Vista CurrentSince Jul 1, 2025 Accepting new patients
Clinica Sierra Vista CurrentSince Jul 1, 2025 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista Past Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients

Locations

2086 Shaw Ave
Clovis, CA 93611
Phone (559) 603-7265

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

Interoperability endpoints

  • Direct secure messaging: jennifer.romo.1@17661.direct.athenahealth.com
  • Direct secure messaging: jennifer.romo.p4@direct.vht.nextgenshare.com

Organizations & group practices 6

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": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1558011411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889442",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900889442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 SHAW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936114176",
            "telephone_number": "559-603-7400",
            "fax_number": "559-603-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMO",
        "first_name": "JENNIFER",
        "middle_name": "MARICELA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A198304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.