Christian Gronbeck III, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G42674 Issued in CA

Practice address

37 E Mission Ave
San Rafael, CA 94901-4208

Phone

(415) 453-9759

Fax

(415) 453-9759

NPI assigned

Nov 25, 2019

Last updated

Nov 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1205472339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 E MISSION AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949014208",
            "telephone_number": "415-453-9759",
            "fax_number": "415-453-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 E MISSION AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949014208",
            "telephone_number": "415-453-9759",
            "fax_number": "415-453-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONBECK",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G42674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Grijalva
• Evelyn Grimaldi
• Robin Jane Grimm, CAS
• Nicole Renee Grinsell
• David Grisham, OD, MS, FAAO,FCOVD-A
• Stephen M Gross, M.A.
• Sarah Grossi, MSW
• Rebecca Grossman
• Carin Grove, MA, MFT
• Elizabeth Gruber

• Pulmonary Disease Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.