Individual provider Active NPI

Kenneth Grier, M.D.

  • Family Medicine Physician
  • Apple Valley, CA
National Provider Identifier
1114235744
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A150771 Issued in CA
Practice address
18564 US Highway 18 Ste 101
Apple Valley, CA 92307-2320
Phone
(760) 242-7777
NPI assigned
Sep 16, 2010
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A150771 CA Primary
Family Medicine Physician 207Q00000X MD-16580 HI

Addresses

Primary practice location

18564 US Highway 18 Ste 101
Apple Valley, CA 92307-2320

Mailing address

12277 Apple Valley Rd # 195
Apple Valley, CA 92308-1701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180227002776 CA Practitioner - Family Practice 2769743160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18564 Outer Hwy 18
Suite 102
Apple Valley, CA 92307-2320
Phone (760) 475-9080

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A150771CAMDFamily Medicine Physician
MD-16580HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Healthcare Associates, Inc. CurrentSince Jan 13, 2022 Accepting new patients
Kenneth Grier MD Inc Family Medicine CurrentSince Nov 1, 2020 Accepting new patients

Locations

18522 US Highway 18
Ste 208
Apple Valley, CA 92307
Phone (760) 242-9262

18564 Outer Highway 18
Ste 102
Apple Valley, CA 92307
Phone (760) 475-9080

19111 Town Center Dr
Apple Valley, CA 92308
Phone (661) 345-3055

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHFBDD/Endpoint/HHFBDD
  • Direct secure messaging: kennethgrier@kgmd.allscriptsdirect.net

Organizations & group practices 2

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

Hospital & facility affiliations 4

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": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1114235744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12277 APPLE VALLEY RD # 195",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923081701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18564 US HIGHWAY 18 STE 101",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072320",
            "telephone_number": "760-242-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIER",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A150771",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-16580",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.