Healthcare Provider Details

I. General information

NPI: 1295298859
Provider Name (Legal Business Name): JANESSA MARIE ROMERO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANESSA MARIE SCHMIDBAUER FNP

II. Dates (important events)

Enumeration Date: 04/10/2019
Last Update Date: 10/14/2021
Certification Date: 10/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2633 16TH ST
BAKERSFIELD CA
93301-3348
US

IV. Provider business mailing address

11920 CANERIDGE RD
SAN DIEGO CA
92128-5237
US

V. Phone/Fax

Practice location:
  • Phone: 661-634-1000
  • Fax:
Mailing address:
  • Phone: 858-733-1296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95011072
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: