Eddie Ralph Grijalva

Primary specialty

DriverTaxonomy code 172A00000X

License

E3407560 Issued in CA

Practice address

1412 17TH St
Bakersfield, CA 93301-5211

Phone

(661) 293-5426

NPI assigned

Sep 14, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ace'S Exceptional Nemt

  • Non-emergency Medical Transport (VAN)
  • Bakersfield, CA
  • NPI 1336811033
  NPD Authorized official

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1013687722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 17TH ST STE 357",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015211",
            "telephone_number": "661-293-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 17TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015211",
            "telephone_number": "661-293-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIJALVA",
        "first_name": "EDDIE",
        "middle_name": "RALPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "E3407560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobby Wayne Griffin
• Maya Lea Griffin
• Pam Griffin, P.A.
• Alesha Griffith
• Ashley Nicole Griffith, ASW
• Lisa Monique Grijalva
• Maria Grijalva, AU.D.
• Patrick Joe Grijalva, B.A.
• Sheila Grijalva
• Brittney Ladawn Grimes, BA, MS

• Driver in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.