NPIMap

Organization Active NPI

Clinica MSR. Oscar a. Romero

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1629513296
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY52411 Issued in CA
Legal business name
CLINICA MSR. OSCAR A. ROMERO
Practice address
2032 Marengo St
Suite a
Los Angeles, CA 90033-1319
Phone
(213) 989-7700
Fax
(213) 989-7702
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Sandra Rossato, MHA
Title
Executive Director
Phone
(213) 201-2737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY52411 CA Primary

Addresses

Primary practice location

2032 Marengo St
Suite a
Los Angeles, CA 90033-1319

Mailing address

2032 Marengo St
Suite a
Los Angeles, CA 90033-1319
Phone (213) 989-7700

Other identifiers 1

IdentifierTypeStateIssuer
1316033533MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Clinica MSR Oscar a Rom12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2032 Marengo St
#A
Los Angeles, CA 90033
Phone (213) 201-2750

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1629513296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 MARENGO ST",
            "address_2": "SUITE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331319",
            "telephone_number": "213-989-7700",
            "fax_number": "213-989-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 MARENGO ST",
            "address_2": "SUITE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331319",
            "telephone_number": "213-989-7700",
            "fax_number": "213-989-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MSR. OSCAR A. ROMERO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "ROSSATO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "213-201-2737",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY52411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316033533",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.