Active NPI
Kenneth Grier, M.D.
- Family Medicine Physician
- Apple Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A150771
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| A150771 | CA | MD | Family Medicine Physician |
| MD-16580 | HI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Healthcare Associates, Inc. | Current | Accepting new patients | |
| Kenneth Grier MD Inc | Family Medicine | Current | 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
- https://fhir4.healow.com/fhir/r4/HHFBDD/Endpoint/HHFBDD
- 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.
-
- Family Medicine Physician
- Apple Valley, CA
- NPI 1972109551
-
- Exclusive Provider Organization
- Apple Valley, CA
- NPI 1194964361
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Victorville, CA
- NPI 1053955070
-
- Home Health Agency
- Victorville, CA
- NPI 1053827097
-
dba Providence Home Health High Desert
- Home Health Agency
- Hesperia, CA
- NPI 1437484409
-
- Home Health Agency
- Rancho Cucamonga, CA
- NPI 1750336525
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.