| Jorge Ramon Romo, PA-C | |
|
450 E Birch St, Calexico, CA 92231-2375 | |
| (760) 768-6262 | |
| Not Available |
| Full Name | Jorge Ramon Romo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 450 E Birch St, Calexico, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891852216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA16178 (California) | Primary |
| Entity Name | Imperial Valley Family Care Medical Group a P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275581894 PECOS PAC ID: 0446243083 Enrollment ID: O20040407001358 |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Ramon Romo, PA-C 540 Sagebrush St, Imperial, CA 92251-8961 Ph: Not Available | Jorge Ramon Romo, PA-C 450 E Birch St, Calexico, CA 92231-2375 Ph: (760) 768-6262 |
Mr. Conrado Martinez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 223 W Cole Blvd, Calexico, CA 92231 Phone: 760-357-2020 Fax: 760-357-1056 |
Manuel Oswaldo Ramirez, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 223 W Cole Blvd, Calexico, CA 92231 Phone: 760-357-2020 Fax: 760-357-1056 |
Bihon Zeweldemariam, NP Physician Assistant Medicare: Medicare Enrolled Practice Location: 223 W Cole Blvd, Calexico, CA 92231 Phone: 730-357-2020 Fax: 760-357-1056 |
Claudia Gonzalez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 495 E Birch St Ste A, Calexico, CA 92231 Phone: 760-357-0508 Fax: 760-357-0817 |
Emily Renee Grant Heim, Physician Assistant Medicare: Medicare Enrolled Practice Location: 223 W Cole Blvd, Calexico, CA 92231 Phone: 760-357-2020 Fax: 760-357-1056 |
Vanessa Jimenez Fuentes, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 251 W Cole Blvd, Calexico, CA 92231 Phone: 760-357-3768 |