Individual provider Active NPI

Rommel Asagwara, M.D.,

  • Family Medicine Physician
  • West Hollywood, CA
National Provider Identifier
1679935381
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C200863 Issued in CA
Practice address
8857 Santa Monica Blvd
West Hollywood, CA 90069-4534
Phone
(323) 973-2787
Fax
(323) 973-2787
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 26900 MS
Family Medicine Physician 207Q00000X 9409057 KS
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X C200863 CA Primary

Addresses

Primary practice location

8857 Santa Monica Blvd
West Hollywood, CA 90069-4534

Mailing address

840 Larrabee St Apt 2234
West Hollywood, CA 90069-4527
Phone (312) 532-3141

Other practice location 1

1060 E County Line Rd Ste 1A
Ridgeland, MS 39157-1937
Phone (769) 444-5673

Other practice location 2

901 E Sunflower Rd
Cleveland, MS 38732-2833
Phone (662) 846-0061

Other practice location 3

27190 Ms 28
Hazlehurst, MS 39083
Phone (601) 574-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.conciergeladoctor.com Direct

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C200863CAMDFamily Medicine Physician
9409057KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physician Partners of El Dorado County, Inc Single Specialty CurrentSince Apr 1, 2025 Accepting new patients

Locations

1100 Marshall Way
Placerville, CA 95667
Phone (530) 626-2601

Organizations & group practices 1

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1679935381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 LARRABEE ST APT 2234",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694527",
            "telephone_number": "312-532-3141",
            "fax_number": "323-973-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8857 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694534",
            "telephone_number": "323-973-2787",
            "fax_number": "323-973-2787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 E County Line Rd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391571937",
            "country_code": "US",
            "telephone_number": "769-444-5673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 E Sunflower Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "MS",
            "postal_code": "387322833",
            "country_code": "US",
            "telephone_number": "662-846-0061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27190 MS 28",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "MS",
            "postal_code": "39083",
            "country_code": "US",
            "telephone_number": "601-574-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASAGWARA",
        "first_name": "ROMMEL",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "26900",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "9409057",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C200863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.conciergeladoctor.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8857 Santa Monica Blvd",
            "city": "West Hollywood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900694534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2025; 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.