VICTOR HUGO SAN ROMAN PA
NPI 1669766200
Physician Assistant in San Bernardino, CA

Active since May 31, 2011
1100 NO. DST, #, SAN BERNARDINO, CA 92410(909) 381-3774 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2025, Aug 14, 2024, May 6, 2024 (3 updates tracked since 2024).

About Victor Hugo San Roman Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTOR HUGO SAN ROMAN PA (NPI 1669766200) is an individual physician assistant in San Bernardino, California, licensed in California (PA16302) and active in the NPI registry since May 2011. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669766200
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameVICTOR HUGO SAN ROMANCredential: PA
Location Address1100 NO. DST, #San Bernardino, CA 92410
Mailing Address1100 N D StSan Bernardino, CA 92410-3524 · (909) 380-4620
Sole ProprietorYes
Enumeration DateMay 31, 2011
Last NPPES UpdateJuly 17, 20253 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
NPI 1669766200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA16302
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1100 NO. DST, San Bernardino, CA 92410

Secondary Practice Locations 2

Location 1333 E Arrow Hwy Unit 220Upland, CA 91785-7008 · Phone (909) 476-2023 · Fax (909) 697-2900
Location 218612 Santa Ana AveBloomington, CA 92316-2639 · Phone (909) 421-7120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victor San Roman's NPI number?

The NPI number for Victor San Roman is 1669766200. It was assigned to this individual provider in the NPPES registry on May 31, 2011.

Where is Victor San Roman located?

Victor San Roman practices at 1100 No. Dst #, San Bernardino, CA 92410. The listed phone number is (909) 381-3774.

What is Victor San Roman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Victor San Roman was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.