Active NPI
Marnie Granados, MD
- Pediatrics Physician
- Napa, CA
National Provider Identifier
1124382312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A121169
- Practice address
- 1141 Pear Tree LN
#100
Napa, CA 94558-6484 - Phone
- (949) 351-0403
- NPI assigned
- Jul 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A121169 | CA | Primary |
Addresses
Primary practice location
1141 Pear Tree LN
#100
Napa, CA 94558-6484
Mailing address
1141 Pear Tree LN
#100
Napa, CA 94558-6484
Phone (949) 351-0403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372636800000",
"number": "1124382312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 PEAR TREE LN",
"address_2": "#100",
"city": "NAPA",
"state": "CA",
"postal_code": "945586484",
"telephone_number": "949-351-0403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 PEAR TREE LN",
"address_2": "#100",
"city": "NAPA",
"state": "CA",
"postal_code": "945586484",
"telephone_number": "949-351-0403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANADOS",
"first_name": "MARNIE",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2013-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A121169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.