Active NPI
Romarico Balotro Garcia, C.S.A.
- Surgical Assistant
- Falls Church, VA
National Provider Identifier
1710246319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 2509
- Practice address
- 1069 W Broad St Ste 908
Falls Church, VA 22046-4610 - Phone
- (703) 506-0725
- NPI assigned
- May 16, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 2509 | VA | Primary |
Addresses
Primary practice location
1069 W Broad St Ste 908
Falls Church, VA 22046-4610
Mailing address
1714 Maxwell CT
MC Lean, VA 22101-5459
Phone (703) 506-0725
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1710246319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 MAXWELL CT",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221015459",
"telephone_number": "703-506-0725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1069 W BROAD ST STE 908",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220464610",
"telephone_number": "703-506-0725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "ROMARICO",
"middle_name": "BALOTRO",
"credential": "C.S.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-16",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "VA",
"license": "2509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.