Active NPI
Liva Yates Gritton, M.D., Inc.
- Physical Medicine & Rehabilitation Physician
- Pasadena, CA
National Provider Identifier
1073632402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- G76396
- Legal business name
- LIVA YATES GRITTON, M.D., INC.
- Practice address
- 960 E Green St Ste 254
Pasadena, CA 91106-2418 - Phone
- (626) 304-9060
- Fax
- (626) 304-9010
- NPI assigned
- Mar 28, 2007
- 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
- Liva Yates Gritton, M.D.
- Title
- President
- Phone
- (626) 304-9060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | G76396 | CA | Primary |
Addresses
Primary practice location
960 E Green St Ste 254
Pasadena, CA 91106-2418
Mailing address
P.O. Box 80998
San Marino, CA 91118-8998
Phone (626) 304-9060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Arcadia, CA
- NPI 1528184033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283126400000",
"number": "1073632402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 80998",
"city": "SAN MARINO",
"state": "CA",
"postal_code": "911188998",
"telephone_number": "626-304-9060",
"fax_number": "626-304-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 E GREEN ST STE 254",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062418",
"telephone_number": "626-304-9060",
"fax_number": "626-304-9010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVA YATES GRITTON, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2010-08-30",
"status": "A",
"authorized_official_last_name": "GRITTON",
"authorized_official_first_name": "LIVA",
"authorized_official_middle_name": "YATES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-304-9060",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "G76396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.