Active NPI
Amanda Marie Romero, N.P
- Pediatric Nurse Practitioner
- San Carlos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- NP95002755
- Practice address
- 301 Industrial Rd
San Carlos, CA 94070-2603 - Phone
- (650) 321-4121
- NPI assigned
- Aug 31, 2015
- Last updated
- Jul 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | NP95002755 | CA | Primary |
| Registered Nurse | 163W00000X | 824087 | CA |
Addresses
Primary practice location
301 Industrial Rd
San Carlos, CA 94070-2603
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (650) 321-4121
Other practice location 1
2700 International Blvd
Suite 11
Oakland, CA 94601
Phone (510) 533-1248
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of San Mateo
Practice addresses (Care Compare)
199 Churchill Ave
Woodside, CA 94062-1151
Phone (650) 573-2222
37 Clinton St
Redwood City, CA 94062-1595
Phone (650) 573-2222
400 Edmonds Rd
Redwood City, CA 94062-3803
Phone (650) 573-2222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95002755 | CA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| Roots Community Health Center | Past | Accepting new patients |
Locations
2710 Middlefield Rd
Redwood City, CA 94063
Phone (650) 364-6010
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
Interoperability endpoints
- aromero18899@smch.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba San Mateo Medical Center
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1679642326
-
dba San Mateo Medical Center
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1831268580
-
dba San Mateo Medical Center
- Multi-Specialty Clinic/Center
- Redwood City, CA
- NPI 1871529073
-
- Primary Care Clinic/Center
- Oakland, CA
- NPI 1851785307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1659748242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "650-321-4121",
"fax_number": "510-533-1870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 INDUSTRIAL RD",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940702603",
"telephone_number": "650-321-4121"
}
],
"practiceLocations": [
{
"address_1": "2700 International Blvd",
"address_2": "Suite 11",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "94601",
"country_code": "US",
"telephone_number": "510-533-1248",
"fax_number": "510-533-1870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMERO",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-31",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "NP95002755",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "824087",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Carlos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.