NPIMap

Organization Active NPI

Gridley Medical Group, Inc

  • Family Medicine Physician
  • Gridley, CA
National Provider Identifier
1184727059
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5317 Issued in CA
Legal business name
GRIDLEY MEDICAL GROUP, INC
Practice address
225 Spruce St
Gridley, CA 95948-2215
Phone
(530) 846-5655
Fax
(530) 846-3784
NPI assigned
Sep 6, 2006
Last updated
Oct 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Authorized official

Name
Mrs. Terry Lynn Maguire
Title
Administrative Assist
Phone
(530) 332-6021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A5317 CA Primary
Clinic/Center 261Q00000X NU

Addresses

Primary practice location

225 Spruce St
Gridley, CA 95948-2215

Mailing address

225 Spruce St
Gridley, CA 95948-2215
Phone (530) 846-5655

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1184727059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SPRUCE ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482215",
            "telephone_number": "530-846-5655",
            "fax_number": "530-846-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SPRUCE ST",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "959482215",
            "telephone_number": "530-846-5655",
            "fax_number": "530-846-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIDLEY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "MAGUIRE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSIST",
        "authorized_official_telephone_number": "530-332-6021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5317",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gridley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.