Dr. Regina Granados, Incorporated

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

License

21246 Issued in CA

Legal business name

DR. REGINA GRANADOS, INCORPORATED

Practice address

1899 E Roseville Pkwy Ste 140
Ste # 140
Roseville, CA 95661-7980

Phone

(916) 938-3088

Fax

(916) 358-8488

NPI assigned

Jul 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. R. Marie-Adel De Onate -Granados, RESEARCHER - PSYD

Title

Principal Research Investiagator

Phone

(916) 932-3088

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clinical Research Council: Neurohealth, Bio-Tech, Psycho-Legal Doing business as

Locations

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

{
    "created_epoch": "1341619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341619200000",
    "number": "1386909265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 E ROSEVILLE PKWY STE 140",
            "address_2": "STE # 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617980",
            "telephone_number": "916-938-3088",
            "fax_number": "916-358-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 E ROSEVILLE PKWY STE 140",
            "address_2": "STE # 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617980",
            "telephone_number": "916-938-3088",
            "fax_number": "916-358-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. REGINA GRANADOS, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-07",
        "last_updated": "2012-07-07",
        "status": "A",
        "authorized_official_last_name": "DE ONATE -GRANADOS",
        "authorized_official_first_name": "R. MARIE-ADEL",
        "authorized_official_title_or_position": "PRINCIPAL RESEARCH INVESTIAGATOR",
        "authorized_official_telephone_number": "916-932-3088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RESEARCHER - PSYD"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Research Study",
            "state": "CA",
            "license": "21246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DEPARTMENT OF CONSUMER AFFAIRS LICENSING DIVISION",
            "identifier": "PSY21246",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Research Council: Neurohealth, Bio-Tech, Psycho-Legal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Research Study Specialist in Roseville, CA
• Providers in Roseville, CA by specialty
• Research Study Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2012; 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.