Individual provider Active NPI

Romerson Dimla, M.D.

  • Anesthesiology Physician
  • Hacienda Heights, CA
National Provider Identifier
1962862052
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
141073 Issued in CA
Practice address
2401 S Hacienda Blvd
Apt 342
Hacienda Heights, CA 91745-4762
Phone
(949) 689-8572
NPI assigned
Mar 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 141073 CA Primary

Addresses

Primary practice location

2401 S Hacienda Blvd
Apt 342
Hacienda Heights, CA 91745-4762

Mailing address

2401 S Hacienda Blvd
Apt 342
Hacienda Heights, CA 91745-4762
Phone (949) 689-8572

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
I20190201000616 CA Practitioner - Anesthesiology 2961749742 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Tulane University School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Cep America - Anesthesia PC 849 clinicians
John Muir Trauma Physicians Billing Service 111 clinicians
G2 Anesthesia PC 104 clinicians

Practice addresses (Care Compare)

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone (925) 939-3000

1601 Ygnacio Vly Rd
Walnut Creek, CA 94596-0921
Phone (925) 939-3000

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

2540 E St
Concord, CA 94520-1906
Phone (925) 682-8200

Hospital & facility affiliations

  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141073CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Dec 1, 2018 Accepting new patients
Children'S Hospital Los Angeles Medical Group, Inc. CurrentSince Jul 2, 2019 Accepting new patients
John Muir Trauma Physicians Billing Service Anesthesiology CurrentSince Oct 22, 2019 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Usc Care Medical Group, Inc Anesthesiology CurrentSince Dec 1, 2018 Accepting new patients
G2 Anesthesia PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Cep America - Anesthesia PC Anesthesiology Past Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

1720 El Camino Real
Ste 100
Burlingame, CA 94010
Phone (650) 259-5300

429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

15047 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 356-2774

15047 Los Gatos Blvd
Ste 150
Los Gatos, CA 95032
Phone (408) 356-2244

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3468 California St
San Francisco, CA 94118
Phone (415) 345-0100

3370 Geary Blvd
San Francisco, CA 94118
Phone (415) 379-7500

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

100 Park Pl
Ste 200
San Ramon, CA 94583
Phone (925) 867-1800

133 La Casa Via
Ste 150
Walnut Creek, CA 94598
Phone (925) 210-8400

100 N Wiget Ln
Ste 140
Walnut Creek, CA 94598
Phone (530) 758-2324

460 N Wiget Ln
Ste C
Walnut Creek, CA 94598
Phone (925) 378-4949

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

100 N Wiget Ln
Walnut Creek, CA 94598
Phone (530) 758-2324

370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592

365 Lennon Ln
Ste 100
Walnut Creek, CA 94598
Phone (925) 929-4600

2021 Ygnacio Valley Rd
Ste H102
Walnut Creek, CA 94598
Phone (866) 678-4320

1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1962862052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S HACIENDA BLVD",
            "address_2": "APT 342",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917454762",
            "telephone_number": "949-689-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S HACIENDA BLVD",
            "address_2": "APT 342",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917454762",
            "telephone_number": "949-689-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMLA",
        "first_name": "ROMERSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "141073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.