Maria Sembrano Granthom, M.D. Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A33532 Issued in CA

Legal business name

MARIA SEMBRANO GRANTHOM, M.D. INC.

Practice address

208 Green Valley Rd
Freedom, CA 95019-3135

Phone

(831) 728-1489

Fax

(831) 728-0936

NPI assigned

Aug 30, 2006

Last updated

Dec 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maria Sembrano Granthom, M.D.NPI 1679750327

Title

President

Phone

(831) 728-1489

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Sembrano Granthom, MD

  • Obstetrics & Gynecology Physician
  • Freedom, CA
  • NPI 1679750327
  Authorized official Same address or phone

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1417066432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GREEN VALLEY RD",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950193135",
            "telephone_number": "831-728-1489",
            "fax_number": "831-728-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GREEN VALLEY RD",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950193135",
            "telephone_number": "831-728-1489",
            "fax_number": "831-728-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA SEMBRANO GRANTHOM, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "GRANTHOM",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "SEMBRANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-728-1489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A33532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A335320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louis Hong Dental Corporation
• Stuart J Macdonell, PA-C
• Jeffrey G Mace, MD
• Marc L Grossman DDS James B Smith DDS Apc
• Margaret Khouri, M.D., P.C. (Margaret Khouri, M.D.)
• Marylou Romo-Gritzewsky
• Bradford David Matiasevich, D.D.S.
• Miguel Vasquez MD Ann Carroll MD a Prof Corp
• Mojdeh Faraz DDS Inc
• Angela Molina, MD

• Obstetrics & Gynecology Physician in Freedom, CA
• Providers in Freedom, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.