Holland Romero

Primary specialty

Social WorkerTaxonomy code 104100000X

License

120947 Issued in CA

Practice address

23311 Dracaea Ave
Moreno Valley, CA 92553-3201

Phone

(951) 571-4510

NPI assigned

Dec 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Gregor Medical Corporation

  • Multi-Specialty Clinic/Center
  • Rancho Cucamonga, CA
  • NPI 1275274003
  NPD (past)
• LCS Behavioral Health, Inc

  • Behavior Analyst
  • Rancho Cucamonga, CA
  • NPI 1861885600
  NPD (past)

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1720748536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23311 DRACAEA AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23311 DRACAEA AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533201",
            "telephone_number": "951-571-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "HOLLAND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "120947",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "120947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Jannet Roman Urquiza
• Doria Elena Roman, RDH
• Felisha Marie Roman
• Olga Virginia Romero Diaz
• Angelica Romero
• Linda Paola Romero
• Marly Yvette Romero, LVN
• Robin Danielle Romes, RN
• Allison Kate Romin
• Cristina Michelle Romo

• Social Worker in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.