Organization Active NPI

Grant Williams MD, a Professional Corp

  • Non-Pharmacy Dispensing Site
  • Beverly Hills, CA
National Provider Identifier
1154637494
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
GRANT WILLIAMS MD, A PROFESSIONAL CORP
Practice address
250 N Robertson Blvd
Ste 106
Beverly Hills, CA 90211-1788
Phone
(310) 271-8300
NPI assigned
Aug 24, 2010
Organization subpart
Yes
Parent organization
GRANT WILLIAMS MD, A PROFESSIONAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Grant Williams, M.D.
Title
Owner
Phone
(310) 652-4302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

250 N Robertson Blvd
Ste 106
Beverly Hills, CA 90211-1788

Mailing address

2980 N Beverly Glen Cir
Ste 100
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Part of
Grant Williams MD a Professional Corp

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1154637494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD",
            "address_2": "STE 106",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111788",
            "telephone_number": "310-271-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT WILLIAMS MD, A PROFESSIONAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRANT WILLIAMS MD, A PROFESSIONAL CORP",
        "enumeration_date": "2010-08-24",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-652-4302",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.