LAURA SULLIVAN ROMERO (NPI# 1679672448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679672448 |
Entity Type | Individual |
Full Name | LAURA SULLIVAN ROMERO |
Practice Address |
3350 La Jolla Village Dr Mail Code 111b San Diego CA 92161-0002 |
Mailing Address |
Po Box 232410 San Diego CA 92193-2410 |
Practice Telephone | 8585528585 |
Practice Fax Number | 8586421435 |
Mailing Telephone | 8582496748 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2017-08-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | G074772 | CA | Allopathic & Osteopathic Physicians |
Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
G074772 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003253865 | Laura A Romero | Speech-Language Pathologist | 1770 Daisy St, Aurora, IL 60505 | 2013-06-03 |
1518037035 | Laura Ann Romero | Counselor | 105 N. Lincoln Ave, Santa Maria Youth and Family Center, Santa Maria, CA 93454 | 2006-11-09 |
1033754809 | Laura Eileen Romero | Social Worker | 2150 Herbert Ct, Greenville, NC 27834-3736 | 2019-11-15 |
1487299749 | Laura Romero | Behavior Technician | 2928 Jefferson St Ste 100, Carlsbad, CA 92008-2374 | 2019-11-11 |
1245703057 | Laura Romero | Licensed Practical Nurse | 112 Monroe St Ne, Albuquerque, NM 87108-1247 | 2019-01-03 |
1801149596 | Laura G Romero | Rehabilitation Practitioner | 851 N Oakland Ave, Pasadena, CA 91104-4343 | 2012-10-18 |
1568769628 | Laura Isabel Romero | Marriage & Family Therapist | 232 E Gish Rd, San Jose, CA 95112-4706 | 2011-02-24 |
1447477922 | Laura Romero | Advanced Practice Midwife | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2007-04-19 |
Street Address |
3350 LA JOLLA VILLAGE DR MAIL CODE 111B |
City | SAN DIEGO |
State | CA |
Zip Code | 92161-0002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053928218 | Leslie Gwen Mcewan | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-30 |
1093329419 | Esther Yerim Hwang | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-02 |
1821602244 | Tracy Xinye Chen | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-02 |
1083227946 | Kayla Christine Knopp | Psychologist | 3350 La Jolla Village Dr, San Diego, CA 92161 | 2020-08-28 |
1609489699 | Cristina De Almeida Amaral | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-28 |
1528670221 | Elizabeth O'neill | Nurse Practitioner | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-24 |
1194335828 | David Alan Yee | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-07 |
1770193831 | Devon Gregory | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-04 |
1356950216 | Lauren F Monsanto | Optometrist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-07-27 |
1184232530 | Sean Mommerency | Physical Therapist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-07-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902315807 | Laura Crocker | Psychologist | 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 | 2017-09-22 |
1568849545 | Deborah Falch | Internal Medicine | Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2015-04-29 |
1649566001 | Alyan Ali | Student in an Organized Health Care Education/Training Program | 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 | 2011-06-23 |
1992840144 | I-wei Shu | Psychiatry & Neurology | 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 | 2007-02-21 |
1639252216 | R Shabetai | General Acute Care Hospital | Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 | 2006-10-24 |
1437233624 | Lee Michael Williams | Marriage & Family Therapist | Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 | 2006-10-24 |
1295824340 | Pamela Anne Broder | Pharmacist | San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-10-12 |
1750484259 | Michael Neil Oxman | Internal Medicine | Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-09-07 |
1295847358 | Patricia Ellen Fornes | Physical Therapist | Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 | 2006-08-31 |
1477667087 | Kathryn Victoria Frederick Louv | Nurse Practitioner | 3350 La Jolla Village Dr., La Jolla, CA 92161 | 2006-08-19 |
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Taxonomy Code | 207ND0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Dermatopathology |
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487011995 | Brouha Dermatology, P.C. | Dermatology | 1319 Beryl St, San Diego, CA 92109-2102 | 2016-01-28 |
1285817569 | Antoanella Calame | Dermatology | 6605 Nancy Ridge Dr, San Diego, CA 92121-2253 | 2007-12-10 |
1467615070 | Carter Elliott Wahl | Dermatology | 300 Fir St, San Diego, CA 92101-2327 | 2008-07-03 |
1093993263 | Christopher Phillipe Erickson | Dermatology | 6605 Nancy Ridge Dr, San Diego, CA 92121-2253 | 2008-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
1528317419 | Heidi M Gilchrist, Md, Inc. | Dermatology | 345 Saxony Road Suite 201, Encinitas, CA 92024-2787 | 2012-09-06 |
1194028233 | Pavillion Asc Inc. | Dermatology | 28901 S. Western Avenue #127, Rancho Palos Veredes, CA 90275 | 2010-12-13 |
1093021495 | Douglas G Hamilton Medical Corp | Dermatology | 6325 Topanga Canyon Blvd Ste 301, Woodland Hills, CA 91367-2029 | 2010-08-23 |
1124254933 | Ronnie M Abraham | Dermatology | 3440 Empresa Dr Ste B, San Luis Obispo, CA 93401 | 2009-06-08 |
1316187180 | Choice Telemed | Dermatology | 2001 Union St Ste 495, San Francisco, CA 94123-4128 | 2009-03-05 |
1063686707 | James D. Jacobitz, M.d. Inc. | Dermatology | 190 Eucalyptus Dr, San Francisco, CA 94132-1629 | 2008-04-14 |
1407034481 | Richard P Klimkowski Md PC | Dermatology | 224 Del Mar, #b, San Clemente, CA 92672-4011 | 2008-02-01 |
1457538415 | S. Gayle Widyolar, M.d., Inc. | Dermatology | 21 Montecito Dr, Corona Del Mar, CA 92625-1017 | 2008-01-22 |
1700061298 | S Patt Md Inc | Dermatology | 3621 E Mlk Jr Bl, #14, Lynwood, CA 90262 | 2008-01-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.