Individual provider Active NPI

Grant P. Williams, M.D.

  • Interventional Pain Medicine Physician
  • Glendale, CA
National Provider Identifier
1013055128
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A54235 Issued in CA
Practice address
716 W Broadway Ste 200
Glendale, CA 91204-1010
Phone
(877) 331-3878
NPI assigned
Feb 1, 2007
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000629 CA Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 3375560675 Reassigns benefits to 1 organization
Practice locations: Calexico, CA; Glendale, CA; Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, 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

OrganizationSpecialtyStatusNew patients
Hope Community Care Clinic, Inc CurrentSince Apr 29, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.