Active NPI
Lourdes Romo, NP
- Registered Nurse
- Riverside, CA
National Provider Identifier
1679955942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 517664
- Practice address
- 9990 County Farm Rd Ste 3
Riverside, CA 92503-3542 - Phone
- (951) 358-6031
- NPI assigned
- Jun 23, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 517664 | CA | Primary |
Addresses
Primary practice location
9990 County Farm Rd Ste 3
Riverside, CA 92503-3542
Mailing address
4959 Palo Verde St # 108B
Montclair, CA 91763-2331
Phone (909) 399-0700
Other practice location 1
4959 Palo Verde St # 108B
Montclair, CA 91763-2331
Phone (909) 399-0700
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 517664 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calstro Hospice Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Health Maintenance Organization
- Long Beach, CA
- NPI 1194811760
-
- Community Based Hospice Care Agency
- Montclair, CA
- NPI 1245603109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1679955942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4959 PALO VERDE ST # 108B",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632331",
"telephone_number": "909-399-0700",
"fax_number": "909-399-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9990 COUNTY FARM RD STE 3",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033542",
"telephone_number": "951-358-6031"
}
],
"practiceLocations": [
{
"address_1": "4959 Palo Verde St # 108B",
"address_purpose": "LOCATION",
"city": "Montclair",
"state": "CA",
"postal_code": "917632331",
"country_code": "US",
"telephone_number": "909-399-0700",
"fax_number": "909-399-0733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMO",
"first_name": "LOURDES",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "517664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.