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

Jose L Corrales Romero

Individual provider Registered Nurse · NPI 1053908863

Jose L Corrales Romero is a Nurse Practitioner in Los Angeles, California. Qualified in 2020, 6 years ago. Practices with Samaritana Medical Clinic, Inc, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

510 S Alvarado St
Los Angeles, CA 90057-2904
Phone: (213) 483-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95016937 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95045071 (CA)

Record details

NPI number1053908863
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 28, 2020
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Samaritana Medical Clinic,Inc. — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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