Jeanette Joshu Grimm, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

33463 Issued in CA

Practice address

30448 Rancho Viejo Rd Ste 174
San Juan Capistrano, CA 92675-1513

Phone

(949) 682-8528

NPI assigned

Jan 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jana Joshu Grimm Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174709133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26571 MORENA DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916114",
            "telephone_number": "618-567-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30448 RANCHO VIEJO RD STE 174",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751513",
            "telephone_number": "949-682-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMM",
        "first_name": "JEANETTE",
        "middle_name": "JOSHU",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2254",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "33463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "GRIMM",
            "middle_name": "JOSHU",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hailey Gravelle
• John-Paul Gray, PHD
• Graywood Wellness LLC
• Scott Greenspan, MD
• Jordan Griffin
• Firozeh Gruber, MD
• William Gustin, MD
• Thomas A Habib, PH.D.
• Shannon June Halbert, PPS
• Kristie Holdren Halka

• Nutrition Chiropractor in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Nutrition Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.