Active NPI
Demitrous Grubbs, M.D.
- Psychiatry Physician
- Sacramento, CA
National Provider Identifier
1114072683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A80699
- Practice address
- 5445 Laurel Hills Dr
Sacramento, CA 95841-3105 - Phone
- (916) 606-1596
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A80699 | CA | Primary |
Addresses
Primary practice location
5445 Laurel Hills Dr
Sacramento, CA 95841-3105
Mailing address
PO Box 5093
El Dorado Hills, CA 95762-0002
Phone (916) 606-1596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A80699 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1114072683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5093",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957620002",
"telephone_number": "916-606-1596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 LAUREL HILLS DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958413105",
"telephone_number": "916-606-1596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBBS",
"first_name": "DEMITROUS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A80699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.