Grass Valley Cardiology Medical Group

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

GRASS VALLEY CARDIOLOGY MEDICAL GROUP

Practice address

150 Catherine Lane D
Grass Valley, CA 95945

Phone

(530) 477-8358

Fax

(530) 477-2015

NPI assigned

May 22, 2006

Last updated

Aug 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy L Benton

Title

Business Manager

Phone

(530) 477-7265

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1023062171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CATHERINE LN",
            "address_2": "SUITE D",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455719",
            "telephone_number": "530-477-8358",
            "fax_number": "530-477-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CATHERINE LANE D",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95945",
            "telephone_number": "530-477-8358",
            "fax_number": "530-477-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASS VALLEY CARDIOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "530-477-7265",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Granger
• Granite Wellness Centers (Grass Valley Campus Residential Program)
• Granite Wellness Centers (Grass Valley Campus)
• Carol Marie Grant
• Cynthia Zoellin Grapel
• Grass Valley Care Center, Inc.
• Grass Valley Chiropractic
• Grass Valley Extended Care Inc
• Grass Valley Eye Care Optometric, Inc.
• Grass Valley Hematology/Oncology Med GRP

• Cardiovascular Disease Physician in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.