Active NPI
Christopher Ryan Grant
- Student in an Organized Health Care Education/Training Program
- Orange, CA
National Provider Identifier
1144806845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 101 The City Drive, City Tower, Ste 400
Orange, CA 92868 - Phone
- (714) 456-5691
- NPI assigned
- Mar 22, 2021
- Last updated
- Apr 1, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary |
Addresses
Primary practice location
101 The City Drive, City Tower, Ste 400
Orange, CA 92868
Mailing address
4637 Southridge CT Apt 5
Eau Claire, WI 54701-7295
Phone (925) 209-1592
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | chgrant@mcw.edu | Froedtert & The Medical College of Wisconsin Community Physicians Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California-Irvine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UC Irvine Hospitalist Program
- Hospitalist Physician
- Orange, CA
- NPI 1154479723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1144806845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4637 SOUTHRIDGE CT APT 5",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547017295",
"telephone_number": "925-209-1592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DRIVE, CITY TOWER, STE 400",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-456-5691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "CHRISTOPHER",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-22",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "chgrant@mcw.edu",
"affiliation": "Y",
"endpointDescription": "Email Address that is not personal.",
"affiliationName": "Froedtert & The Medical College of Wisconsin Community Physicians Inc",
"address_1": "3200 Pleasant Valley Rd",
"city": "West Bend",
"state": "WI",
"country_code": "US",
"postal_code": "530959274",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.