Individual provider Active NPI

Malamo Romas, O.T.R./L

  • Occupational Therapist
  • Rancho Cordova, CA
National Provider Identifier
1194907139
Registry record updated Dec 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5711 Issued in CA
Practice address
10410 Coloma Rd
Rancho Cordova, CA 95670-2108
Phone
(916) 363-4843
NPI assigned
Dec 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5711 CA Primary

Addresses

Primary practice location

10410 Coloma Rd
Rancho Cordova, CA 95670-2108

Mailing address

1301 E Bidwell St
Suite 201
Folsom, CA 95630-3452
Phone (916) 983-5915

Other names 1

  • Malamo Douveas Former name

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)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196467200000",
    "number": "1194907139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E BIDWELL ST",
            "address_2": "SUITE 201",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303452",
            "telephone_number": "916-983-5915",
            "fax_number": "916-983-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 COLOMA RD",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956702108",
            "telephone_number": "916-363-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAS",
        "first_name": "MALAMO",
        "name_prefix": "Mrs.",
        "credential": "O.T.R./L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-01",
        "last_updated": "2007-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "5711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALAMO",
            "last_name": "DOUVEAS",
            "credential": "O.T.R./L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.