Courtney Grande

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2216 San Gorgonio Rd
La Canada, CA 91011-1351

Phone

(818) 967-9754

NPI assigned

Jun 14, 2018

Last updated

Dec 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1073006904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 SAN GORGONIO RD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 SAN GORGONIO RD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111351",
            "telephone_number": "818-967-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "COURTNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Gilbert, P.T.
• Giragosian Chiropractic Corporation
• Caroline Girard, DDS
• Catiria G Gomez II
• Lacey Gostony, D.P.T.
• Vanessa J Greco, LMFT
• Nune Grigorian, D.D.S.
• Kristina Grubbs, MS, BCBA
• Natascha Kontny Gundersen, LICSW
• Satish Steve Gupta, M.D.

• Athletic Trainer in La Canada, CA
• Providers in La Canada, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.