Marisela Grano

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

CPT-02005794 Issued in CA

Practice address

3317 W Beverly Blvd
Montebello, CA 90640-1570

Phone

(323) 621-6700

NPI assigned

Mar 19, 2024

Last updated

Mar 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seramobile Healthcare Clinics LLC

  • Clinic/Center
  • Montebello, CA
  • NPI 1962183251
  NPD

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1710747647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401570",
            "telephone_number": "323-621-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401570",
            "telephone_number": "323-621-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANO",
        "first_name": "MARISELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "CA",
            "license": "CPT-02005794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Gonzalez, BA
• Ruben V Gonzalez, DDS
• Emily Diane Goodall, AMFT
• Sudha Govindarajan, MD
• Grande, Inc.
• Karina E Gratelli, RDH
• Lauren Michele Greeley, LCSW
• Green Tree Homecare Inc
• Gregory E. Robins, DDS, Inc.
• Christine Griffin, DPM

• Phlebology Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Phlebology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.