Organization Active NPI

J. Gary Grant, MD, Inc.

  • Internal Medicine Physician
  • Pacific Grove, CA
National Provider Identifier
1053427013
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G83783 Issued in CA
Legal business name
J. GARY GRANT, MD, INC.
Practice address
830 Bayview Ave
Pacific Grove, CA 93950-2511
Phone
(831) 373-2322
NPI assigned
Aug 22, 2006
Last updated
Oct 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Dr. James Gary Grant, MDNPI 1578665535
Title
President
Phone
(831) 373-2322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G83783 CA Primary

Addresses

Primary practice location

830 Bayview Ave
Pacific Grove, CA 93950-2511

Mailing address

830 Bayview Ave
Pacific Grove, CA 93950-2511
Phone (831) 373-2322

Other identifiers 1

IdentifierTypeStateIssuer
00G387830MedicaidCA

National Provider Directory

National Provider Directory

Locations

505 Central Ave
Ste 302
Pacific Grove, CA 93950
Phone (831) 333-9304

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1053427013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 BAYVIEW AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502511",
            "telephone_number": "831-373-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BAYVIEW AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502511",
            "telephone_number": "831-373-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. GARY GRANT, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-373-2322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G83783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G387830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.