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MARIA SEMBRANO GRANTHOM M.D. INC. NPI 1417066432


NPI Information

NPI: 1417066432
Provider Name: MARIA SEMBRANO GRANTHOM, M.D. INC.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
208 GREEN VALLEY RD
FREEDOM, CA
ZIP 95019
Phone: (831) 728-1489
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MARIA SEMBRANO GRANTHOM, M.D. INC. is an obstetrics gynecology in Freedom, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MARIA SEMBRANO GRANTHOM, M.D. INC. NPI is 1417066432. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

208 GREEN VALLEY RD
FREEDOM, CA
ZIP 95019-135
Phone: (831) 728-1489
Fax: (831) 728-0936

The provider's authorized official is Maria Sembrano Granthom .
The authorized official title is President and has the following contact phone number (831) 728-1489.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/10/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyA33532CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A335320MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2A87890MEDICARE UPINCALIFORNIA
300A335320MEDICAIDCALIFORNIA

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: 11/14/2023

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