MARSHA FUNDERBURK GRANESE (NPI# 1063572915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063572915 |
| Entity Type | Individual |
| Full Name | MARSHA FUNDERBURK GRANESE |
| Credential | M.D. |
| Practice Address |
22032 El Paseo Suite 200 Rancho Santa Margarita CA 92688-3947 |
| Practice Telephone | 9495896487 |
| Practice Fax Number | 9495896485 |
| Mailing Telephone | 9495896487 |
| Mailing Fax Number | 9495896485 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A83534 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
22032 EL PASEO SUITE 200 |
| City | RANCHO SANTA MARGARITA |
| State | CA |
| Zip Code | 92688-3947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144215906 | Renae Witt | Podiatrist | 22032 El Paseo, Suite 140, Rancho Santa Margarita, CA 92688-3947 | 2005-09-16 |
| 1073960175 | Jennifer Galich | Nurse Practitioner | 22032 El Paseo, #130, Rancho Santa Margarita, CA 92688-3947 | 2016-05-18 |
| 1649666298 | Tawny Minna | Nurse Practitioner | 22032 El Paseo, Suite #130, Rancho Santa Margarita, CA 92688-3947 | 2015-04-10 |
| 1003107608 | Marsha Granese, Md, Inc. | Obstetrics & Gynecology | 22032 El Paseo, Suite 200, Rancho Santa Margarita, CA 92688-3947 | 2011-04-29 |
| 1497908396 | Rma Urgent Care Rancho | Clinic/Center | 22032 El Paseo, Suite 130, Rancho Santa Margarita, CA 92688-3947 | 2008-10-23 |
| 1841475738 | Kidiatrics Medical Group, Inc. | Pediatrics | 22032 El Paseo, #160, Rancho Santa Margarita, CA 92688-3947 | 2008-01-09 |
| 1316137573 | Dr. Salma Aziz Dpm, Ms, Inc. | Podiatrist | 22032 El Paseo, Suite 140, Rancho Santa Margarita, CA 92688-3947 | 2007-07-25 |
| 1962595157 | Jeff Wong, Dds, Inc | Dentist | 22032 El Paseo, Ste. 240, Rancho Santa Margarita, CA 92688-3947 | 2006-10-02 |
| 1083722326 | Jeffrey Wong | Dentist | 22032 El Paseo, Ste. 240, Rancho Santa Margarita, CA 92688-3947 | 2006-08-28 |
| 1346255122 | Lindsay J Fossatti | Specialist | 22032 El Paseo, Suite 210, Rancho Santa Margarita, CA 92688-3947 | 2006-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386409 | Julie Soria | Nurse Practitioner | 22032 El Paso, #130, Rancho Santa Margarita, CA 92688 | 2020-08-14 |
| 1639735368 | Ballard King Dental Partnership | Dentist | 29819 Santa Margarita Parkway, Suite #200, Rancho Santa Margarita, CA 92688 | 2019-05-17 |
| 1033774435 | Jenalie Michelle Mccollam | Counselor | 5 Calle Espolon, Rancho Santa Margarita, CA 92688 | 2019-05-01 |
| 1750825006 | Helen Schuppe | Speech-Language Pathologist | 5 Acorn Ridge, Rancho Santa Margarita, CA 92688 | 2016-12-06 |
| 1881054971 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 30505a Avenida De Las Flores, Santa Margarita Marketplace, Rancho Santa Margarita, CA 92688 | 2016-03-02 |
| 1043687247 | Christopher Chang | Chiropractor | 23252 Arroyo Vista, Rancho Santa Margarita, CA 92688 | 2015-08-24 |
| 1265721104 | Robert Edwin Meister | Dentist | 29881 Aventura, Ste F, Rancho Santa Margarita, CA 92688 | 2011-03-31 |
| 1295056190 | Galenix Pharmacy Inc | Pharmacy | 29851 Avetura, Ste J-1, Rancho Santa Margarita, CA 92688 | 2010-06-15 |
| 1336468370 | Susan Stivers | Counselor | 22431 Antonio Parkway, Suite B160-694, Rancho Santa Margarita, CA 92688 | 2010-05-28 |
| 1710205505 | Jordan Pham Dental Corp | Point of Service | 22521 Avenida Empresa Suite 102, Rancho Santa Margarita, CA 92688 | 2010-05-04 |
| Find all providers in zip 92688 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003107608 | Marsha Granese, Md, Inc. | Obstetrics & Gynecology | 22032 El Paseo, Suite 200, Rancho Santa Margarita, CA 92688-3947 | 2011-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786122 | My Virtual Physician, P.c | Obstetrics & Gynecology | 4900 California Ave Fl 2, Bakersfield, CA 93309-7024 | 2020-09-28 |
| 1942817804 | La Vista Health | Obstetrics & Gynecology | 180 W Willow St Unit 3, Pomona, CA 91768-1800 | 2020-09-24 |
| 1629685730 | Farshid Moossazadeh, M.d., A Professional Corporation | Obstetrics & Gynecology | 11633 Hawthorne Blvd Ste 300, Hawthorne, CA 90250-2369 | 2020-09-23 |
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1659982130 | Anaya Women's Ob/gyn Group | Obstetrics & Gynecology | 18056 Wika Rd Ste B, Apple Valley, CA 92307-2194 | 2020-08-10 |
| 1477163046 | Pioneers Memorial Healthcare District | Obstetrics & Gynecology | 751 W Legion Rd Ste 204, Brawley, CA 92227-7755 | 2020-08-07 |
| 1669093357 | Adventist Health Physicians Network | Obstetrics & Gynecology | 1505 Wilson Ter Ste 300, Glendale, CA 91206-4073 | 2020-05-04 |
| 1376180893 | Elisa M Lindley Md Corporation | Obstetrics & Gynecology | 41750 Rancho Las Palmas Dr Ste D1, Rancho Mirage, CA 92270-5512 | 2019-12-03 |
| 1043864184 | Gail Mezrow | Obstetrics & Gynecology | 1280 Coldwater Canyon Dr, Beverly Hills, CA 90210-2405 | 2019-07-26 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
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| City | RANCHO SANTA MARGARITA |
| Zip Code | 92688 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.