Individual provider Active NPI

Elizabeth Grigor, MD

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1255428785
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A88651 Issued in CA
Practice address
11080 W.Olympic Blvd. 4TH Floor
Edelman MHC
Los Angeles, CA 90064
Phone
(310) 966-6500
Fax
(310) 231-0684
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A88651 CA Primary

Addresses

Primary practice location

11080 W.Olympic Blvd. 4TH Floor
Edelman MHC
Los Angeles, CA 90064

Mailing address

11080 W. Olympic Blvd. 4TH Floor
Edelman MHC
Los Angeles, CA 90064
Phone (310) 966-6500

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
I20080423000750 CA Practitioner - Psychiatry 3072554047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1976
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

447 N El Molino Ave
Pasadena, CA 91101-1403
Phone (626) 577-8480

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Clinic and the Community Assistance Program for Seniors Current Accepting new patients
Heritage Clinic and the Community Assistance Program for Seniors CurrentSince Feb 1, 2022 Accepting new patients
Los Angeles County Department of Mental Health Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Sep 18, 2007 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Sep 18, 2007 Accepting new patients
Louisiana Department of Health, Department of Health and Hospitals Past Accepting new patients

Locations

10515 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 486-3837

11080 W Olympic Blvd
Los Angeles, CA 90064
Phone (310) 966-6500

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

11080 W Olympic Blvd
Fl 1
Los Angeles, CA 90064
Phone (310) 966-6610

5321 Via Marisol
Los Angeles, CA 90042
Phone (323) 474-6393

11080 W Olympic Blvd
#4
Los Angeles, CA 90064
Phone (310) 966-6500

253 N San Gabriel Blvd
Ste 100
Pasadena, CA 91107
Phone (626) 577-8480

447 N El Molino Ave
Pasadena, CA 91101
Phone (626) 577-8480

10605 Balboa Blvd
Ste 100
San Fernando, CA 91344
Phone (818) 832-2400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1255428785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11080 W. OLYMPIC BLVD. 4TH FLOOR",
            "address_2": "EDELMAN MHC",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90064",
            "telephone_number": "310-966-6500",
            "fax_number": "310-231-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11080 W.OLYMPIC BLVD. 4TH FLOOR",
            "address_2": "EDELMAN MHC",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90064",
            "telephone_number": "310-966-6500",
            "fax_number": "310-231-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGOR",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A88651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.