Individual provider Active NPI

Jose Luis Romero, NP

  • Family Nurse Practitioner
  • El Centro, CA
National Provider Identifier
1952080624
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024947 Issued in CA
Practice address
2026 N Imperial Ave Ste C
El Centro, CA 92243-1607
Phone
(760) 592-4352
NPI assigned
Jul 11, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024947 CA Primary

Addresses

Primary practice location

2026 N Imperial Ave Ste C
El Centro, CA 92243-1607

Mailing address

1146 Fairfield Way
Heber, CA 92249-9512
Phone (760) 562-9326

Other practice location 1

1146 Fairfield Way
Heber, CA 92249-9512
Phone (760) 562-9326

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210003042 CA Practitioner - Nurse Practitioner 9335628270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tyson Medical IncGroup PAC ID 3072870112, 21 clinicians

Practice addresses (Care Compare)

2026 N Imperial Ave
Suite C
El Centro, CA 92243-1607
Phone (760) 592-4351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024947CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tyson Medical Inc CurrentSince Dec 28, 2025 Accepting new patients
Tyson Medical Inc CurrentSince Dec 28, 2025 Accepting new patients

Locations

630 S Brawley Ave
Ste 9
Brawley, CA 92227
Phone (760) 623-1202

207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

630 S Brawley Ave
Ste 10
Brawley, CA 92227
Phone (760) 623-1202

400 Mary Ave
Ste 2
Calexico, CA 92231
Phone (760) 592-4351

400 Mary Ave
Ste 1
Calexico, CA 92231
Phone (442) 220-1550

1044 Cherry Valley Blvd
#430
Calimesa, CA 92320
Phone (760) 592-4351

2026 N Imperial Ave
Ste D
El Centro, CA 92243
Phone (323) 745-7700

2026 N Imperial Ave
Ste C
El Centro, CA 92243
Phone (760) 592-4351

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1952080624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 FAIRFIELD WAY",
            "city": "HEBER",
            "state": "CA",
            "postal_code": "922499512",
            "telephone_number": "760-562-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 N IMPERIAL AVE STE C",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431607",
            "telephone_number": "760-592-4352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1146 Fairfield Way",
            "address_purpose": "LOCATION",
            "city": "Heber",
            "state": "CA",
            "postal_code": "922499512",
            "country_code": "US",
            "telephone_number": "760-562-9326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "JOSE LUIS",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.