Individual provider Active NPI

Eliott Romero, M.D.

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1942361548
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G48383 Issued in CA
Practice address
999 N Tustin Ave
Suite 220
Santa Ana, CA 92705-3528
Phone
(714) 543-3522
Fax
(714) 543-3267
NPI assigned
Dec 13, 2006
Last updated
Sep 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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 G48383 CA Primary
Obstetrics Physician 207VX0000X G48383 CA

Addresses

Primary practice location

999 N Tustin Ave
Suite 220
Santa Ana, CA 92705-3528

Mailing address

999 N Tustin Ave
Suite 220
Santa Ana, CA 92705-3528
Phone (714) 543-3522

Other identifiers 4

IdentifierTypeStateIssuer
1841463353OtherCASUBPART
00G483831MedicaidCA
1942361548OtherCAMEDICARE
1841463353MedicaidCA

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
I20090402000157 CA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 5092862300 Reassigns benefits to 3 organizations
Practice locations: Santa Ana, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of California, San Francisco School of Medicine, 1981
Medicare assignment
May accept Medicare assignment
Group practices
Family Choice Aco IncGroup PAC ID 7719379395, 60 clinicians

Practice addresses (Care Compare)

7631 Wyoming St
Suite 201
Westminster, CA 92683-3904

999 N Tustin Ave
Suite 220
Santa Ana, CA 92705-6506
Phone (714) 543-3522

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Families Together of Orange County CurrentSince Dec 1, 2015 Accepting new patients
Community Medicine Inc CurrentSince Aug 1, 2024 Accepting new patients
Family Choice Aco Inc CurrentSince Jan 1, 2022 Accepting new patients
Community Medicine Inc. CurrentSince Aug 1, 2024 Accepting new patients
Families Together of Orange County CurrentSince Dec 1, 2015 Accepting new patients
San Martin Deporres Medical Group Family Medicine CurrentSince Feb 1, 2000 Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

8800 Alondra Blvd
Ste C
Bellflower, CA 90706
Phone (562) 602-2508

8540 Alondra Blvd
Ste B2
Paramount, CA 90723
Phone (562) 602-2508

301 N Main St
Santa Ana, CA 92701
Phone (714) 547-6600

301 N Main St
Ste B2
Santa Ana, CA 92701

661 W 1st St
Ste G
Tustin, CA 92780
Phone (714) 665-9890

7631 Wyoming St
Ste 201
Westminster, CA 92683
Phone (714) 898-0765

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: elliott.ramero.p1@direct.cmiorg.nextgenshare.com

Organizations & group practices 8

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 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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1942361548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE",
            "address_2": "SUITE 220",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053528",
            "telephone_number": "714-543-3522",
            "fax_number": "714-543-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE",
            "address_2": "SUITE 220",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053528",
            "telephone_number": "714-543-3522",
            "fax_number": "714-543-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "ELIOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G48383",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G48383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBPART",
            "identifier": "1841463353",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G483831",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1942361548",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841463353",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.