Physician Compare National (NPI:1124261946)

HEALTHCARE PROVIDER: VICTORIANO ROMERO MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1124261946
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133344120
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140708000486
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ROMERO
	Individual professional last name
Provider First Name	VICTORIANO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	REDDING UROLOGIC ASSOCIATES A MEDICAL CORP
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1052385622
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2626 EDITH AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE C
	Group Practice or individual's line 2 address
City	REDDING
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	960013056
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5302413316
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050280
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY MEDICAL CENTER REDDING
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050042
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST ELIZABETH COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	051319
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MERCY MEDICAL CENTER OF MT SHASTA
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050030
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	OROVILLE HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	050764
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	SHASTA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1124261946)

HEALTHCARE PROVIDER: VICTORIANO ROMERO MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information