Organization Active NPI

Grondin Construction Inc.

  • Home Modifications Contractor
  • San Diego, CA
National Provider Identifier
1013372945
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
GRONDIN CONSTRUCTION INC.
Practice address
9835 Carroll Centre Rd Ste 103
San Diego, CA 92126-6507
Phone
(858) 549-1682
NPI assigned
Dec 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Mrs. Caroline Grondin
Title
Owner
Phone
(858) 549-1682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171WH0202X Primary

Addresses

Primary practice location

9835 Carroll Centre Rd Ste 103
San Diego, CA 92126-6507

Mailing address

9835 Carroll Centre Rd Ste 103
San Diego, CA 92126-6507
Phone (858) 549-1682

Other identifiers 1

IdentifierTypeStateIssuer
741287OtherCACSLB

National Provider Directory

National Provider Directory

Locations

9835 Carroll Centre Rd
Ste 103
San Diego, CA 92126
Phone (858) 549-1682

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1013372945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9835 CARROLL CENTRE RD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266507",
            "telephone_number": "858-549-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9835 CARROLL CENTRE RD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266507",
            "telephone_number": "858-549-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRONDIN CONSTRUCTION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "GRONDIN",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-549-1682",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSLB",
            "identifier": "741287",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.