Individual provider Active NPI

Robin R Roemer-Brown, L.AC. DIPL.AC.

  • Acupuncturist
  • Garden Grove, CA
National Provider Identifier
1619019734
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6137 Issued in CA
Practice address
6122 Belgrave Ave
Garden Grove, CA 92845-1812
Phone
(714) 235-5646
Fax
(714) 799-5557
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC6137 CA Primary

Addresses

Primary practice location

6122 Belgrave Ave
Garden Grove, CA 92845-1812

Mailing address

6122 Belgrave Ave
Garden Grove, CA 92845-1812
Phone (714) 235-5646

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

LicenseStateTypeSpecialty
AC6137CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619019734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6122 BELGRAVE AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451812",
            "telephone_number": "714-235-5646",
            "fax_number": "714-799-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6122 BELGRAVE AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451812",
            "telephone_number": "714-235-5646",
            "fax_number": "714-799-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEMER-BROWN",
        "first_name": "ROBIN",
        "middle_name": "R",
        "credential": "L.AC. DIPL.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.