Mary D Giammona, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G54669 Issued in CA

Practice address

200 Oceangate Ste 100
Long Beach, CA 90802-4317

Phone

(415) 279-7154

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1740322312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20409 YORBA LINDA BLVD STE K2-220",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "415-279-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAMMONA",
        "first_name": "MARY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G54669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMS200006",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gergis Raid Ghobrial, M.D.
• Gholamreza F. Pourzia, M.D., Inc
• Carolynn G Giacomazzi, RDH
• Hamid Giahi, DDS
• Leslie Janae Giambone, LCSW
• Daniel Leon Gianella, MD
• Heather E Gibb, M.A.
• Hannah Rose Wilson Gibbs, APRN
• Kimberly Michelle Gibbs, MFT
• Rachel Gibbs

• Pediatrics Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.