Eliott Romero, MD Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G48383 Issued in CA

Legal business name

ELIOTT ROMERO, MD CORP

Practice address

57340 29 Palms Hwy
Yucca Valley, CA 92284-2927

Phone

(760) 365-2308

Fax

(760) 365-7538

NPI assigned

Apr 4, 2008

Organization subpart

Yes

Parent organization

ELIOTT ROMERO, MD FAMILY PRACTICE AND OBSTETRICSAs reported in NPPES

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

Authorized official

Name

Eliott Romero, M.D.

Title

Proprietor

Phone

(760) 365-2308

Specialties & licenses 2

Addresses

Other identifiers 4

Part of

Eliott Romero

Locations

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1841463353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57340 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842927",
            "telephone_number": "760-365-2308",
            "fax_number": "760-365-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57340 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842927",
            "telephone_number": "760-365-2308",
            "fax_number": "760-365-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIOTT ROMERO, MD CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELIOTT ROMERO, MD FAMILY PRACTICE AND OBSTETRICS",
        "enumeration_date": "2008-04-04",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "ELIOTT",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "760-365-2308",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G48383",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G48383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "193200000X",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI SUBPART",
            "identifier": "1841463353",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE",
            "identifier": "207VX0000X",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1942361548",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edith a. Jones-Poland MD Professional Corp
• Clint Edwards
• Jacqueline Edwards
• Effel LLC Dba Effel Medical Respite
• Eisenhower Medical Center
• Ellee Residential Care #3
• Heather A Ellens
• Jay H. Ellens
• Sheila Ellens
• Sydney Elless

• Family Medicine Physician in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.