Grandcare Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GRANDCARE MEDICAL LLC

Practice address

1515 W Cameron Ave Ste 202
West Covina, CA 91790-2734

Phone

(626) 502-1736

Fax

(626) 502-1746

NPI assigned

May 21, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Zhuoxian Wu

Title

Director

Phone

(626) 502-1736

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1134968100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W CAMERON AVE STE 202",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902734",
            "telephone_number": "626-502-1736",
            "fax_number": "626-502-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W CAMERON AVE STE 202",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902734",
            "telephone_number": "626-502-1736",
            "fax_number": "626-502-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDCARE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "ZHUOXIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-502-1736",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staci Janae Graham
• David Granados
• Jeffrey-Jonathan Ocfemia Granados, O.D.
• Melissa Granados
• Selena Marie Granados, PSY.D.
• Beth Anne Grant, LCSW
• Greater Valley Pharmacy
• Lianna Louise Greer, ATC
• Gregory L. Gorski, a Professional Medical Corp
• Christopher James Griego

• Durable Medical Equipment & Medical Supplies in West Covina, CA
• Providers in West Covina, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.