Organization Active NPI

Romie Lane Pediatric Group, Inc

  • Specialist
  • Salinas, CA
National Provider Identifier
1982601167
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G21938 Issued in CA
Legal business name
ROMIE LANE PEDIATRIC GROUP, INC
Practice address
610 E Romie LN
Suite #2
Salinas, CA 93901-4209
Phone
(831) 422-9001
Fax
(831) 422-0577
NPI assigned
Jul 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Dr. William G Koehne, M.D.NPI 1124124540
Title
President
Phone
(831) 422-9001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G21938 CA Primary

Addresses

Primary practice location

610 E Romie LN
Suite #2
Salinas, CA 93901-4209

Mailing address

610 E Romie LN
Suite #2
Salinas, CA 93901-4209
Phone (831) 422-9001

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0687412Romie Lane Pediatric Group Inc610 E Romie Lane Ste 2, Salinas, CA 93901Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1982601167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E ROMIE LN",
            "address_2": "SUITE #2",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014209",
            "telephone_number": "831-422-9001",
            "fax_number": "831-422-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E ROMIE LN",
            "address_2": "SUITE #2",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014209",
            "telephone_number": "831-422-9001",
            "fax_number": "831-422-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMIE LANE PEDIATRIC GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-04",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "KOEHNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-422-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G21938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.