Individual provider Active NPI

Gabrielle M. Romero, OTD, OTR/L

  • Occupational Therapist
  • Fremont, CA
National Provider Identifier
1972194967
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
476722 Issued in CA
Practice address
4510 Peralta Blvd Ste 7
Fremont, CA 94536-5755
Phone
(510) 358-2271
Fax
(510) 358-2278
NPI assigned
Feb 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 476722 CA Primary

Addresses

Primary practice location

4510 Peralta Blvd Ste 7
Fremont, CA 94536-5755

Mailing address

4510 Peralta Blvd Ste 7
Fremont, CA 94536-5755
Phone (510) 358-2271

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khcllc@kairoshomecare.net Health Information Exchange (HIE) Kairos Home Care LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
476722CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kairos Home Care LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

4510 Peralta Blvd
Ste 7
Fremont, CA 94536
Phone (510) 358-2271

Organizations & group practices 1

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": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972194967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 PERALTA BLVD STE 7",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365755",
            "telephone_number": "510-358-2271",
            "fax_number": "510-358-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 PERALTA BLVD STE 7",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365755",
            "telephone_number": "510-358-2271",
            "fax_number": "510-358-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "GABRIELLE",
        "middle_name": "M.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "476722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khcllc@kairoshomecare.net",
            "affiliation": "Y",
            "affiliationName": "Kairos Home Care LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4510 Peralta Blvd Ste 7",
            "city": "Fremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945365755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.