JOSE L CORRALES ROMERO – Nurse Practitioner, NPI 1053908863

JOSE L CORRALES ROMERO is a healthcare provider. based in South gate, California. specializing in NURSE PRACTITIONER. They hold a License No. 95045071 (CA). The NPI Number for JOSE L CORRALES ROMERO is 1053908863

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
JOSE L CORRALES ROMERO
NPI
1053908863
Phone
(323) 805-1351
Address
6159 MAIN ST
Enumeration Date
28 December 2020
Last Update Date
19 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2134842288
Graduation Year
2020 (6 years ago)
PAC ID
8729474101
Group Practice PAC ID
0749370989
Professional Enrollment ID
I20220412001511
Address ID
CA900574074LO2033XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

16,353 NURSE PRACTITIONER in CA

Provider Addresses for JOSE L CORRALES ROMERO

  • 6159 MAIN ST

    SOUTH GATE, CA 902807923

    Phone: (323) 805-1351

    Type: Mailing

  • 510 S ALVARADO ST

    LOS ANGELES, CA 900572904

    Phone: (213) 483-3600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $220.

Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: RedHill Biopharma Inc. ($73).

Total Amount

$220

General + Research + Ownership

Payments

9

Total payment records

General Amount

$220

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220412001511INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes18443$0
82947Blood glucose (sugar) level17147$0
J0696Injection, ceftriaxone sodium, per 250 mg7214$0
36415Insertion of needle into vein for collection of blood sample5834$0
96372Injection of drug or substance under skin or into muscle4922$0
View full utilization report →

Insurance plans in this area (ZIP 90280)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749370989View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCA
Physician AssistantCA
Physician AssistantCA
Family PracticeCA
Physician AssistantCA
General Practice, Hematology, Hematology/Oncology, Internal MedicineCA
Orthopedic Surgery, Emergency MedicineOK
-CA
Nurse PractitionerFL
Cardiovascular Disease (Cardiology), Family Practice, General Practice, Preventive MedicineCA

Reviews

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Frequently asked questions

How do I look up JOSE L CORRALES ROMERO by NPI?
Use NPI 1053908863 when you need to reference JOSE L CORRALES ROMERO in forms, claims, or directories.
Is JOSE L CORRALES ROMERO active in the national directory?
JOSE L CORRALES ROMERO's public NPI profile is in an active state.
Does JOSE L CORRALES ROMERO list a primary specialty?
If you are matching referrals, note Nurse Practitioner for JOSE L CORRALES ROMERO. Clinical services aligned with this taxonomy classification.
Where does public data place JOSE L CORRALES ROMERO?
The snapshot lists South Gate, California for JOSE L CORRALES ROMERO; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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