NPIMap

Individual provider Active NPI

Dmitriy Romanenko, M.D.,

  • Obstetrics & Gynecology Physician
  • South Gate, CA
National Provider Identifier
1881894715
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A94512 Issued in CA
Practice address
5831 Firestone Blvd Ste E
South Gate, CA 90280-3718
Phone
(323) 240-1938
NPI assigned
Jul 19, 2007
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A94512 CA
Obstetrics & Gynecology Physician 207V00000X A94512 CA Primary

Addresses

Primary practice location

5831 Firestone Blvd Ste E
South Gate, CA 90280-3718

Mailing address

7660 Beverly Blvd
#348
Los Angeles, CA 90036-2757
Phone (323) 240-1938

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080521000517 CA Practitioner - General PracticePractitioner - Obstetrics/Gynecology 6406925114 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Oakland College of Medicine and Surgery, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Chatsworth Medlink IncGroup PAC ID 1153831953, 4 clinicians
Valley Vita Medical Center IncGroup PAC ID 1658285911, 3 clinicians

Practice addresses (Care Compare)

17545 Chatsworth St
Granada Hills, CA 91344-5720
Phone (661) 817-0705

18607 Ventura Blvd
Suite 206
Tarzana, CA 91356-4172
Phone (818) 758-8282

5831 Firestone Blvd
Suite E
South Gate, CA 90280-3718
Phone (562) 806-7545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94512CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Vita Medical Center, Inc Family Medicine CurrentSince Nov 11, 2023 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Jul 24, 2020 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Jul 24, 2020 Accepting new patients
Chatsworth Medlink Inc CurrentSince Aug 29, 2025 Accepting new patients
Wound Away Care Inc CurrentSince Nov 8, 2025 Accepting new patients
Saint Joseph Family Medical Clinic, Inc Family Medicine PastSince Nov 16, 2009 Accepting new patients
St Francis Medical Center Past Accepting new patients
Eladh, LP Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

17545 Chatsworth St
Granada Hills, CA 91344
Phone (661) 817-0705

7301 State St
Huntington Park, CA 90255
Phone (323) 277-4779

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034

5831 Firestone Blvd
South Gate, CA 90280
Phone (310) 919-2320

5831 Firestone Blvd
Ste E
South Gate, CA 90280
Phone (562) 600-4471

18607 Ventura Blvd
Ste 206
Tarzana, CA 91356
Phone (818) 758-8282

18740 Ventura Blvd
Ste 202
Tarzana, CA 91356
Phone (323) 266-6700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dmitriy.romanenkomd.p1@direct.ccchcenter.nextgenshare.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1881894715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 BEVERLY BLVD",
            "address_2": "#348",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362757",
            "telephone_number": "323-240-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 FIRESTONE BLVD STE E",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902803718",
            "telephone_number": "323-240-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANENKO",
        "first_name": "DMITRIY",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A94512",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A94512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

Verify at the official NPI Registry.