Provider Demographics
NPI:1811086481
Name:ROMANINI, ERIKA (PAC)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:ROMANINI
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 CALLE CASTANA
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309
Mailing Address - Country:US
Mailing Address - Phone:661-326-1600
Mailing Address - Fax:661-323-0889
Practice Address - Street 1:2701 CHESTER AVE
Practice Address - Street 2:HIGHGROVE MEDICAL CENTER
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301
Practice Address - Country:US
Practice Address - Phone:661-326-1600
Practice Address - Fax:661-716-2613
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA15765207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OPA157651Medicare ID - Type Unspecified