Active NPI
Eric R. Grover, DO
- Family Medicine Physician
- West Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11353427-1204
- Practice address
- 3181 W 9000 S
West Jordan, UT 84088-5610 - Phone
- (801) 352-5900
- Fax
- (801) 352-5914
- NPI assigned
- Jul 26, 2011
- Last updated
- Dec 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A13265 | CA | |
| Family Medicine Physician | 207Q00000X | 11353427-1204 | UT | Primary |
Addresses
Primary practice location
3181 W 9000 S
West Jordan, UT 84088-5610
Mailing address
2965 W 3500 S
West Valley City, UT 84119-3602
Phone (801) 965-3600
Other practice location 1
4190 Chicago Ave
Riverside, CA 92507-5348
Phone (951) 683-2106
Other practice location 2
1688 N Perris Blvd Ste H4
Perris, CA 92571-4746
Phone (951) 657-7876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2965 W 3500
West Valley City, UT 84119-3602
Phone (801) 965-3600
4190 Chicago Ave
Riverside, CA 92507-5348
Phone (951) 683-2106
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A13265 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granger Medical Clinic PC | Family Medicine | Current | Accepting new patients |
| Granger Medical Specialists LLC | Current | Accepting new patients | |
| Granger Medical Specialists, LLC | Current | Accepting new patients | |
| Mommy and Me Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Granger Medical Clinic PC | Past | Accepting new patients | |
| Reuben C Castillo, Professional Corporation | Past | Accepting new patients |
Locations
1688 N Perris Blvd
Ste H4
Perris, CA 92571
Phone (951) 647-7876
498 W 4th St
Perris, CA 92570
Phone (951) 657-5441
4190 Chicago Ave
Riverside, CA 92507
Phone (951) 632-2106
12391 S 4000 W
Riverton, UT 84096
Phone (801) 302-1700
995 W Levoy Dr
Taylorsville, UT 84123
7181 S Campus View Dr
West Jordan, UT 84084
Phone (801) 965-3505
2965 W 3500 S
West Valley City, UT 84119
Phone (801) 965-3505
3725 W 4100 S
West Valley City, UT 84120
Phone (801) 965-3545
Networks
- UT PPO D-SNP
- UT PPO
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- eric.grover.p1@direct.chsica.nextgenshare.com
- eric.grover.p2@direct.mpmccorp.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- West Valley City, UT
- NPI 1184657041
Family Medicine
-
- Family Medicine Physician
- Riverside, CA
- NPI 1730258765
-
- Clinic/Center
- West Valley City, UT
- NPI 1376159368
-
- Multi-Specialty Clinic/Center
- Salt Lake City, UT
- NPI 1497441539
-
dba Granger Medical West Jordan
- Multi-Specialty Clinic/Center
- West Jordan, UT
- NPI 1104857549
-
- General Practice Physician
- Perris, CA
- NPI 1942429188
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Riverton Hospital
- General Acute Care Hospital
- Riverton, UT
- NPI 1154551919
-
dba Intermountain Health Intermountain Medical Center
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1174801179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2965 W 3500 S",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841193602",
"telephone_number": "801-965-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 W 9000 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885610",
"telephone_number": "801-352-5900",
"fax_number": "801-352-5914"
}
],
"practiceLocations": [
{
"address_1": "4190 Chicago Ave",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925075348",
"country_code": "US",
"telephone_number": "951-683-2106",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1688 N Perris Blvd Ste H4",
"address_purpose": "LOCATION",
"city": "Perris",
"state": "CA",
"postal_code": "925714746",
"country_code": "US",
"telephone_number": "951-657-7876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROVER",
"first_name": "ERIC",
"middle_name": "R.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-26",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A13265",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "11353427-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.