Individual provider Active NPI

Brendan Howard Grubbs, M.D.

  • Maternal & Fetal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1174775670
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
A99421 Issued in CA
Practice address
1300 N Vermont Ave Ste 301
Los Angeles, CA 90027-6061
Phone
(323) 361-6070
NPI assigned
Oct 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X A99421 CA Primary
Obstetrics & Gynecology Physician 207V00000X A99421 CA

Addresses

Primary practice location

1300 N Vermont Ave Ste 301
Los Angeles, CA 90027-6061

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 361-6070

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brendan.grubbs@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130304000099 CA Practitioner - Obstetrics/Gynecology 1850546557 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Jan 13, 2013 Accepting new patients
Usc Care Medical Group, Inc Obstetrics & Gynecology CurrentSince Jan 13, 2013 Accepting new patients
Dignity Health Past Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Keck Medical Center of Usc Past Accepting new patients

Locations

191 S Buena Vista St
Ste 435
Burbank, CA 91505
Phone (818) 845-5802

1808 Verdugo Blvd
Ste 208
Glendale, CA 91208
Phone (818) 952-5322

1808 Verdugo Blvd
Ste 413
Glendale, CA 91208
Phone (818) 658-5980

1400 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-6250

1300 N Vermont Ave
Ste 301
Los Angeles, CA 90027
Phone (323) 361-6070

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

11550 Indian Hls
Ste 380
Mission Hills, CA 91345
Phone (818) 361-5069

55 S Lake Ave
Fl 9
Pasadena, CA 91101
Phone (818) 212-7541

39 Congress St
Ste 301
Pasadena, CA 91105
Phone (626) 486-0181

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1174775670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-361-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276061",
            "telephone_number": "323-361-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBBS",
        "first_name": "BRENDAN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-15",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A99421",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A99421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brendan.grubbs@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 N Vermont Ave Ste 301",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.