Individual provider Active NPI

Kenneth Romero, MD

  • Pain Medicine (Anesthesiology) Physician
  • Chula Vista, CA
National Provider Identifier
1902832702
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G66351 Issued in CA
Practice address
752 Medical Center CT
#206
Chula Vista, CA 91911-6658
Phone
(619) 656-3805
Fax
(619) 656-4825
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X G66351 CA Primary

Addresses

Primary practice location

752 Medical Center CT
#206
Chula Vista, CA 91911-6658

Mailing address

PO Box 969096
San Diego, CA 92196-9096
Phone (858) 495-0971

Other identifiers 1

IdentifierTypeStateIssuer
G66351OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040302001386 CA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4789571811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Hahnemann University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Holland
Irvine, CA 92618-2568

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

Hospital & facility affiliations

  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G66351CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth a. Romero, M.D., Inc CurrentSince Jan 3, 2002 Accepting new patients
Paradise Valley Hospital Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Palomar Health Past Accepting new patients
Anesthesia Consultants of California Medical Group Inc Past Accepting new patients
Ronald M Levin MD Inc Pain Medicine Past Accepting new patients
Neurosurgical Medical Clinic, Inc, Past Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

752 Medical Center Ct
Ste 206
Chula Vista, CA 91911
Phone (619) 656-3805

752 Medical Center Ct
Ste 103
Chula Vista, CA 91911
Phone (619) 482-0300

255 N Elm St
Ste 101
Escondido, CA 92025
Phone (760) 489-1876

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

15525 Pomerado Rd
Ste E6
Poway, CA 92064
Phone (858) 312-1717

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 1

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902832702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969096",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921969096",
            "telephone_number": "858-495-0971",
            "fax_number": "858-495-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 MEDICAL CENTER CT",
            "address_2": "#206",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116658",
            "telephone_number": "619-656-3805",
            "fax_number": "619-656-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G66351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G66351",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.