John Grant
Individual provider Active NPI Family Medicine Physician · Lebec, CA
NPI 1235249012 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1235249012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A63101 (CA)
- Practice address
- 704 Lebec Road
Lebec, CA 93243 - Phone
- (661) 248-5250
- Fax
- (661) 248-5279
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A63101 | CA | MD | Family Medicine Physician |
Interoperability endpoints
- john.grant.p1@direct.lakeside.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A63101 | CA | Yes |
Addresses
Primary practice location
704 Lebec Road
Lebec, CA 93243
Mailing address
1430 Truxtun Avenue Ste 400
Attention Ann Le Clinica Sierra Vista PO Box 1559
Bakersfield, CA 93302-1559
Phone (661) 635-3050
Other names
- John Garcia
Other providers in Lebec, CA
- Clinica Sierra Vista
- Clinica Sierra Vista
- Clinica Sierra Vista
- Diane Tatjana Cosko
- El Tejon Unified School District
- Svetlana Grinberg
- Naomi Rachelle Kast
- Melissa Michele Luongo
- Robert Martinez
- Elizabeth J Megaw
All providers in Lebec, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.