BRENTON ROMAN (NPI# 1669947792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669947792 |
| Entity Type | Individual |
| Full Name | BRENTON ROMAN |
| Credential | PSY.D. |
| Practice Address |
865 3rd Ave Chula Vista CA 91911-1300 |
| Mailing Address |
6161 El Cajon Blvd Ste B509 San Diego CA 92115-3922 |
| Practice Telephone | 6194091600 |
| Mailing Telephone | 2035131208 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY30333 | CA | Behavioral Health & Social Service Providers |
| Street Address |
865 3RD AVE |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609868181 | Advanced Eye Care | Ophthalmology | 865 3rd Ave, Suite 121, Chula Vista, CA 91911-1300 | 2005-08-19 |
| 1588060214 | Vivencio B. Abante, Dds, Inc. | Clinic/Center | 865 3rd Ave, 120, Chula Vista, CA 91911-1300 | 2014-11-06 |
| 1033461801 | Roxane M. Santiago | Pediatrics | 865 3rd Ave, Suite 101, Chula Vista, CA 91911-1349 | 2012-10-03 |
| 1780909903 | Sean J Rodriguez | Family Medicine | 865 3rd Ave, #133, Chula Vista, CA 91910-1349 | 2010-03-31 |
| 1770718975 | Mary Ann Palomino | Family Medicine | 865 3rd Ave, Suite #133, Chula Vista, CA 91911-1300 | 2009-05-18 |
| 1942435144 | Ryan Rahee Yoon | Family Medicine | 865 3rd Ave, Suite 133, Chula Vista, CA 91911-1300 | 2009-05-18 |
| 1699900852 | Toni Jo Canton | Student in an Organized Health Care Education/Training Program | 865 3rd Ave, Suite# 133, Chula Vista, CA 91911-1300 | 2009-05-18 |
| 1760633028 | Myra Kurtz Ebeling | Dietitian, Registered | 865 3rd Ave, Chula Vista, Chula Vista, CA 91911-1300 | 2008-10-06 |
| 1063678720 | Briana Mejia | Student in an Organized Health Care Education/Training Program | 865 3rd Ave, Suite 133, Chula Vista, CA 91911-1300 | 2008-08-01 |
| 1710147566 | Myrna Coronado | Family Medicine | 865 3rd Ave, Suite 133, Chula Vista, CA 91911-1300 | 2008-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609104264 | Emma Trung Tra Phan | Psychologist | 821 Kuhn Dr, Suite 102, Chula Vista, CA 91914-4508 | 2009-11-19 |
| 1154548196 | Libe Weiss | Psychologist | 224 Landis St, Chula Vista, CA 91910 | 2007-04-19 |
| 1295836138 | Dolores I Rodriguez-reimann | Psychologist | 690 Otay Lakes Rd., Suite 210, Chula Vista, CA 91910-8904 | 2006-09-25 |
| 1154422087 | Joachim Reimann | Psychologist | 690 Otay Lakes Rd Ste 210, Chula Vista, CA 91910-8904 | 2006-09-25 |
| 1942220801 | Janet Lee Bernabo | Psychologist | 1415 Ridgeback Rd Ste 2, Chula Vista, CA 91910-6983 | 2006-07-20 |
| 1669409140 | Bruce Yanofsky | Psychologist | 900 Lane Ave, Suite 125, Chula Vista, CA 91914-4515 | 2006-06-28 |
| 1740270594 | Elsa Alanis | Psychologist | 224 Landis Ave, Chula Vista, CA 91910-2609 | 2005-10-24 |
| 1306089164 | Radhika Katyal | Psychologist | 835 3rd Ave Ste C, Chula Vista, CA 91911-1352 | 2009-04-09 |
| 1427250356 | Scherry Messic, Ph.d., A Professional Psychological Corporation | Psychologist | 680 Telegraph Canyon Road, Suite 202, Chula Vista, CA 91910-6536 | 2007-06-04 |
| 1003039843 | Andrew Lowell Cooper | Psychologist | 815 3rd Ave, Suite 107, Chula Vista, CA 91911-1307 | 2007-04-10 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on BRENTON ROMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.