Active NPI
Malamo Romas, O.T.R./L
- Occupational Therapist
- Rancho Cordova, CA
National Provider Identifier
1194907139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5711
- 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
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 |
|---|---|---|---|---|
| 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
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.