Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Roman G. McInnerney, DO

Individual provider Emergency Medicine Physician · NPI 1205321163

Dr. Roman G. McInnerney, DO is a Pediatric Medicine in San Diego, California. Qualified in 2018, 8 years ago. Works from 3 locations. Licensed in Arizona, California and Texas.

Years since qualifying
8
Licensed in
AZ, CA, TX
In the registry since
2018
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3020 Childrens Way
San Diego, CA 92123-4223
Phone: (858) 966-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2400 S Avenue A, Yuma, AZ 85364-7127 — (928) 344-2000
  • 333 N Santa Rosa, San Antonio, TX 78207-3108 — (210) 704-4100

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 20A17994 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence T4000 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence T4000 (TX)
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence 011878 (AZ)

Record details

NPI number1205321163
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 24, 2018
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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