Physician Compare National (NPI:1588843098)

HEALTHCARE PROVIDER: RITA S ROMERO PH.D

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

Individual Professional Information
NPI	1588843098
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921223777
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140710001565
	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	RITA
	Individual professional first name
Provider Middle Name	SUSAN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	RITA ROMERO, PSYCHOLOGIST A PC
	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	7911238621
	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	11770 BERNARDO PLAZA CT
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 208
	Group Practice or individual's line 2 address
City	SAN DIEGO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	921282424
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y