Individual provider Active NPI

Grant Holz, MD

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1083979710
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
125061867 Issued in IL
Practice address
3534 5TH Ave Apt 206
San Diego, CA 92103-5063
Phone
(877) 737-4636
NPI assigned
Jul 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 125061867 IL Primary

Addresses

Primary practice location

3534 5TH Ave Apt 206
San Diego, CA 92103-5063

Mailing address

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (877) 737-4636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH, TX, OR, IL, FL6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20171117002978 CA Practitioner - Diagnostic Radiology 2668738048 Reassigns benefits to 19 organizations
I20180725003612 OH Practitioner - Diagnostic Radiology 2668738048 Reassigns benefits to 1 organization
I20250124001866 TX Practitioner - Diagnostic Radiology 2668738048 Reassigns benefits to 9 organizations
I20250129002189 OR Practitioner - Diagnostic Radiology 2668738048 Reassigns benefits to 1 organization
I20251203001753 IL Practitioner - Diagnostic Radiology 2668738048 Reassigns benefits to 2 organizations
I20260225004212 FL Practitioner - Diagnostic Radiology 2668738048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Memorial Healthcare IncGroup PAC ID 6103724778, 498 clinicians
Vesta Telemedicine Solutions PLLCGroup PAC ID 9638585706, 39 clinicians
North Star FM LPGroup PAC ID 1153591763, 22 clinicians
North Star MCD LLCGroup PAC ID 2668659434, 77 clinicians
North Star MRI of Frisco LPGroup PAC ID 2769574854, 72 clinicians
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians
North Star Diagnostic Imaging LLCGroup PAC ID 8729118021, 69 clinicians
Lawrence County Memorial HospitalGroup PAC ID 7517144249, shared by 4 NPIs, 33 clinicians
Lubbock County Hospital DistrictGroup PAC ID 4385538941, 97 clinicians
Fisher County Hospital DistrictGroup PAC ID 2163311465, shared by 4 NPIs, 27 clinicians

Practice addresses (Care Compare)

1300 Medical Dr
Tallahassee, FL 32308-4646
Phone (850) 216-0100

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (407) 738-4085

1419 Vue Du Bay CT
San Diego, CA 92109-1931
Phone (972) 899-5901

2200 State St
Lawrenceville, IL 62439-1852
Phone (618) 943-1000

2200 State St
Lawrenceville, IL 62439-1899

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8400

774 State Hwy 70 N
Rotan, TX 79546-6918
Phone (325) 735-2256

Hospital & facility affiliations

  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
  • Wilson N Jones Regional Medical Center Hospital, Sherman, TX, CCN 450469
  • Haskell Memorial Hospital Hospital, Haskell, TX, CCN 451341
  • Brownfield Regional Medical Center Hospital, Brownfield, TX, CCN 450399
  • Odessa Regional Medical Center Hospital, Odessa, TX, CCN 450661

Merit-based Incentive Payment System (MIPS)

Final score
84.08 of 100Reported as group
Quality
81.28
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125061867ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence County Memorial Hospital CurrentSince Sep 21, 2025 Accepting new patients
North Star MRI of Frisco LP CurrentSince Oct 15, 2025 Accepting new patients
Fisher County Hospital District CurrentSince Jan 1, 2025 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Oct 17, 2025 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology Current Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Dec 28, 2025 Accepting new patients
Fisher County Hospital District Current Accepting new patients
Vesta Telemedicine Solutions, PLLC Diagnostic Radiology CurrentSince Nov 18, 2024 Accepting new patients
Texas Imaging Partners, LLC CurrentSince Mar 20, 2025 Accepting new patients
North Star NPT LP CurrentSince Oct 15, 2025 Accepting new patients
Vesta Telemedicine Solutions, PC Diagnostic Radiology CurrentSince Dec 19, 2024 Accepting new patients
Fisher County Hospital District Current Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Oct 15, 2025 Accepting new patients
Mayers Memorial Hospital District CurrentSince Apr 1, 2025 Accepting new patients
Comanche County Medical Center Company CurrentSince Jul 1, 2025 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Jan 24, 2025 Accepting new patients
Radiologica Inc. Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Associated Pathologists, LLC Current Accepting new patients
Martin County Hospital District CurrentSince May 1, 2025 Accepting new patients
Comanche County Medical Center Company CurrentSince Jul 1, 2025 Accepting new patients
North Star FP, LP CurrentSince Oct 15, 2025 Accepting new patients
North Star GV, LP CurrentSince Oct 15, 2025 Accepting new patients
Advanced Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
North Star CN, LP CurrentSince Oct 15, 2025 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Sep 21, 2025 Accepting new patients
North Star MRI LP CurrentSince Oct 15, 2025 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Jan 24, 2025 Accepting new patients
Fisher County Hospital District CurrentSince Jan 1, 2025 Accepting new patients
County of Yoakum CurrentSince Feb 9, 2026 Accepting new patients
County of Yoakum CurrentSince Feb 9, 2026 Accepting new patients
Martin County Hospital District CurrentSince May 1, 2025 Accepting new patients
North Star FM, LP CurrentSince Oct 15, 2025 Accepting new patients
North Star MCD, LLC CurrentSince Oct 15, 2025 Accepting new patients
Advanced Medical Imaging Inc Past Accepting new patients
North Star Plano Parkway, LP Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients

Locations (25 of 29)

1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

1849 Iron Point Rd
Ste 160
Folsom, CA 95630
Phone (916) 984-8102

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

450 Glass Ln
Ste C
Modesto, CA 95356

730 17th St
Modesto, CA 95354
Phone (209) 248-7700

768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422

450 Stanyan St
#A3
San Francisco, CA 94117
Phone (415) 688-3200

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

3439 Brookside Rd
Ste 107
Stockton, CA 95219
Phone (209) 466-5027

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1133 W Sycamore St
Willows, CA 95988
Phone (530) 934-1800

1300 Medical Dr
Tallahassee, FL 32308
Phone (850) 216-0190

1260 Metropolitan Blvd
Tallahassee, FL 32312
Phone (850) 422-5413

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

2900 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 884-1371

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

412 Mustang Ave
Denver City, TX 79323
Phone (806) 592-2121

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

Organizations & group practices 42

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 42

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1083979710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 W TALCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313707",
            "telephone_number": "877-737-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 5TH AVE APT 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035063",
            "telephone_number": "877-737-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZ",
        "first_name": "GRANT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125061867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.