Active NPI
Marylou Romo-Gritzewsky
- Internal Medicine Physician
- Freedom, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A76531
- Legal business name
- MARYLOU ROMO-GRITZEWSKY
- Practice address
- 268 Green Valley Rd
Freedom, CA 95019-3139 - Phone
- (831) 728-0440
- Fax
- (831) 728-4293
- NPI assigned
- Sep 11, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marylou Romo-Gritzewsky, MD
- Title
- Physician
- Phone
- (831) 728-0440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A76531 | CA | Primary |
Addresses
Primary practice location
268 Green Valley Rd
Freedom, CA 95019-3139
Mailing address
268 Green Valley Rd
Freedom, CA 95019-3139
Phone (831) 728-0440
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0925390 | Marylou Romo-Gritzewsky | Certificate of waiver | Feb 24, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Internal Medicine Physician
- Freedom, CA
- NPI 1790795730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689778607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 GREEN VALLEY RD",
"city": "FREEDOM",
"state": "CA",
"postal_code": "950193139",
"telephone_number": "831-728-0440",
"fax_number": "831-728-4293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 GREEN VALLEY RD",
"city": "FREEDOM",
"state": "CA",
"postal_code": "950193139",
"telephone_number": "831-728-0440",
"fax_number": "831-728-4293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYLOU ROMO-GRITZEWSKY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROMO-GRITZEWSKY",
"authorized_official_first_name": "MARYLOU",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "831-728-0440",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A76531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freedom, CA
- 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.)
- Maria Sembrano Granthom, M.D. Inc.
- Bradford David Matiasevich, D.D.S.
- Miguel Vasquez MD Ann Carroll MD a Prof Corp
- Mojdeh Faraz DDS Inc
- Angela Molina, MD
- Monterey Bay Imaging Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.