Organization Active NPI

Aleksandr Grinberg MD, Inc

  • Adult Mental Health Clinic/Center
  • San Francisco, CA
National Provider Identifier
1144581356
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
A56467 Issued in CA
Legal business name
ALEKSANDR GRINBERG MD, INC
Practice address
2320 Sutter St
Office 101
San Francisco, CA 94115-3038
Phone
(415) 771-0700
Fax
(415) 928-1311
NPI assigned
Jun 4, 2012
Last updated
Jun 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Authorized official

Name
Dr. Aleksandr Grinberg, M.D.
Title
Owner
Phone
(415) 286-6530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X A56467 CA Primary

Addresses

Primary practice location

2320 Sutter St
Office 101
San Francisco, CA 94115-3038

Mailing address

2320 Sutter St
Office 101
San Francisco, CA 94115-3038
Phone (415) 771-0700

Other identifiers 1

IdentifierTypeStateIssuer
9996133MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1144581356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 SUTTER ST",
            "address_2": "OFFICE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153038",
            "telephone_number": "415-771-0700",
            "fax_number": "415-928-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 SUTTER ST",
            "address_2": "OFFICE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153038",
            "telephone_number": "415-771-0700",
            "fax_number": "415-928-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEKSANDR GRINBERG MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "GRINBERG",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-286-6530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "A56467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9996133",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.