Samuel C Rombaoa, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58288 Issued in CA

Practice address

125 E Barstow Ave
Suite 122
Fresno, CA 93710-5020

Phone

(559) 227-5309

Fax

(559) 227-7934

NPI assigned

Jun 4, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1578799458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E BARSTOW AVE",
            "address_2": "SUITE 122",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105020",
            "telephone_number": "559-227-5309",
            "fax_number": "559-227-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E BARSTOW AVE",
            "address_2": "SUITE 122",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105020",
            "telephone_number": "559-227-5309",
            "fax_number": "559-227-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMBAOA",
        "first_name": "SAMUEL",
        "middle_name": "C",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manpreet Kaur Romana, DO
• Tatiana Romanenko, LMFT
• Natalia Romanoff, PA
• Jonathan Conrad Romanyshyn, MD
• Talia Lynn Romanyshyn, NP-C
• Cambia Sussette Green Rome, M.D.
• Kathleen Marie Romeiro, LCSW
• Daisy Cristina Romero Aguilar
• Ana Bertha Romero-Arriaga, LCSW
• Andres Romero

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.