MRS. MARISA KROM NP-BC NPI 1053704551

NPI Information

  • NPI: 1053704551
  • Provider Name: MRS. MARISA KROM, NP-BC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 W CARSON ST
    BOX 468
    TORRANCE, CA
    ZIP 90502
  • Phone: (310) 222-4168

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NPI Details

MRS. Marisa Krom, NP-BC is a pediatrics nurse practitioner in Torrance, CA. MRS. Marisa Krom, NP-BC NPI is 1053704551. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 W CARSON ST
BOX 468
TORRANCE, CA
ZIP 90502-004
Phone: (310) 222-4168
Fax: (310) 222-4006

The NPI 1053704551 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/9/2015 and was last updated on 3/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics95001469WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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