Active NPI
J. Gary Grant, MD, Inc.
- Internal Medicine Physician
- Pacific Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G83783
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Gary Grant, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G387830 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Pacific Grove, CA
- NPI 1578665535
-
- Podiatrist
- Pacific Grove, CA
- NPI 1669545141
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
- Evonne L Huntley
- Joseph C. Hutchinson Jr., BCTMB, CMT
- Belinda Kay Icenhower, N.D.
- Kazumi Ikeda
- In Stride Physical Therapy & Rehab, Inc.
- Jamie Klinefelter, DMD, Inc.
- Janessa Radford, Licensed Clinical Social Worker, Inc.
- Edward Earl Jarvis, D.C.
- Ann Todd Jealous, L.M.F.T.
- Jessica Byrd-Olmstead, PH.D., Inc.
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.