Individual provider Active NPI

Galina Grekov, NP

  • Nurse Practitioner
  • West Hollywood, CA
National Provider Identifier
1114693520
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95017333 Issued in CA
Practice address
8713 Beverly Blvd
West Hollywood, CA 90048-1803
Phone
(347) 693-2287
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95017333 CA Primary

Addresses

Primary practice location

8713 Beverly Blvd
West Hollywood, CA 90048-1803

Mailing address

248 E Howard St
Pasadena, CA 91104-2123
Phone (818) 404-2910

Other practice location 1

43322 Gingham Ave
Lancaster, CA 93535-4576
Phone (661) 874-4050

Other identifiers 1

IdentifierTypeStateIssuer
95017333OtherCANP LICENSE NUMBER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220117000514 CA Practitioner - Nurse Practitioner 3072905405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Institute of America Medical CorporationGroup PAC ID 1658624929, 2 clinicians

Practice addresses (Care Compare)

416 N Bedford Dr
Suite 100
Beverly Hills, CA 90210-4308
Phone (310) 993-4679

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Institute of America Medical Corporation CurrentSince Mar 22, 2022 Accepting new patients

Locations

416 N Bedford Dr
Ste 100
Beverly Hills, CA 90210
Phone (305) 951-6543

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1114693520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 E HOWARD ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042123",
            "telephone_number": "818-404-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8713 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481803",
            "telephone_number": "347-693-2287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43322 Gingham Ave",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935354576",
            "country_code": "US",
            "telephone_number": "661-874-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREKOV",
        "first_name": "GALINA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE  NUMBER",
            "identifier": "95017333",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.