Individual provider Active NPI

Romela Petrosyan, M.D.

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1689109878
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A183119 Issued in CA
Practice address
1333 San Pablo St # 628
Los Angeles, CA 90089-1031
Phone
(323) 442-1040
NPI assigned
Apr 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51101 SC
Nephrology Physician 207RN0300X 282974 MA
Nephrology Physician 207RN0300X A183119 CA Primary

Addresses

Primary practice location

1333 San Pablo St # 628
Los Angeles, CA 90089-1031

Mailing address

PO Box 50938
Los Angeles, CA 90074-0938
Phone (323) 442-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221013001706 MA Practitioner - NephrologyPractitioner - Internal Medicine 9133491319 Reassigns benefits to 2 organizations
I20241028000696 CA Practitioner - Nephrology 9133491319 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Univ of Central Florida, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Usc Care Medical Non-Contracted LLCGroup PAC ID 6901263672, 18 clinicians
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians

Practice addresses (Care Compare)

1441 Eastlake Ave
Los Angeles, CA 90089-0112
Phone (323) 865-3000

1500 San Pablo St
Los Angeles, CA 90033-5313
Phone (323) 442-8444

1516 San Pablo St
Los Angeles, CA 90033-5313
Phone (800) 872-2273

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

300 W Hungtington Dr
Arcadia, CA 91007-3402
Phone (626) 898-8000

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A183119CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Non-Contracted LLC Nephrology CurrentSince Feb 1, 2026 Accepting new patients
Brigham & Womens Physicians Organization Inc Internal Medicine CurrentSince Oct 20, 2022 Accepting new patients
Confermed of California PC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Usc Care Medical Group, Inc Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Feb 1, 2026 Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Jun 21, 2023 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
Confermed PC Internal Medicine Past Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1333 San Pablo St
#628
Los Angeles, CA 90089
Phone (323) 442-1040

4600 Campus Dr
Ste 203
Newport Beach, CA 92660
Phone (617) 259-5933

11 Silver St
Unit 856
Middletown, CT 06457

75 Francis St
Boston, MA 02115

45 Francis St
Fl 2
Boston, MA 02115
Phone (617) 525-6507

254 2nd Ave
Ste 100
Needham Heights, MA 02494
Phone (781) 416-8412

2000 Washington St
Ste 460
Newton Lower Falls, MA 02462
Phone (617) 243-5420

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1689109878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50938",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740938",
            "telephone_number": "323-442-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 SAN PABLO ST # 628",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900891031",
            "telephone_number": "323-442-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSYAN",
        "first_name": "ROMELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "51101",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "282974",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A183119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.