Active NPI
Grant P. Williams, M.D.
- Interventional Pain Medicine Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- A54235
- Practice address
- 716 W Broadway Ste 200
Glendale, CA 91204-1010 - Phone
- (877) 331-3878
- NPI assigned
- Feb 1, 2007
- Last updated
- Aug 19, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | A54235 | CA | Primary |
Addresses
Primary practice location
716 W Broadway Ste 200
Glendale, CA 91204-1010
Mailing address
2275 Huntington Dr Ste 371
San Marino, CA 91108-2640
Phone (877) 331-3878
Other practice location 1
1250 S Sunset Ave Ste 206
West Covina, CA 91790-3962
Phone (877) 331-3878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
501 E 3Rd St
Calexico, CA 92231-2832
Phone (760) 848-7378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Community Care Clinic, Inc | Current | Accepting new patients | |
| Onyx Pain Management Medical Corporation | Current | Accepting new patients | |
| DO Medical Corporation | Past | Accepting new patients | |
| Millcreek Ambulatory Surgery Center | Past | Accepting new patients |
Locations
501 E 3rd St
Calexico, CA 92231
Phone (619) 351-1011
716 W Broadway
Glendale, CA 91204
Phone (818) 243-9999
716 W Broadway
#200
Glendale, CA 91204
Phone (800) 974-5633
1250 S Sunset Ave
Ste 206
West Covina, CA 91790
Phone (626) 338-4453
Interoperability endpoints
- grant.williams@opsl-ca.direct.office.nextgen.com
Organizations & group practices 5
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.
-
- Community Health Clinic/Center
- Calexico, CA
- NPI 1720853237
-
- Interventional Pain Medicine Physician
- West Covina, CA
- NPI 1124498274
-
- Pain Clinic/Center
- West Covina, CA
- NPI 1851944110
-
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Glendale, CA
- NPI 1437723145
-
- Ambulatory Surgical Clinic/Center
- Visalia, CA
- NPI 1770906141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1013055128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 HUNTINGTON DR STE 371",
"city": "SAN MARINO",
"state": "CA",
"postal_code": "911082640",
"telephone_number": "877-331-3878",
"fax_number": "888-578-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 W BROADWAY STE 200",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041010",
"telephone_number": "877-331-3878"
}
],
"practiceLocations": [
{
"address_1": "1250 S Sunset Ave Ste 206",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917903962",
"country_code": "US",
"telephone_number": "877-331-3878",
"fax_number": "888-578-6188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "GRANT",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "A54235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.