Organization Active NPI

James L Grisez, MD

  • Ambulatory Surgical Clinic/Center
  • Arroyo Grande, CA
National Provider Identifier
1255459020
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
JAMES L GRISEZ, MD
Practice address
200 Station Way
Ste 200B
Arroyo Grande, CA 93420-3348
Phone
(805) 489-1409
Fax
(895) 489-1290
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Ms. Diane Madeline Grisez, PHD
Title
Administrator
Phone
(805) 489-1409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

200 Station Way
Ste 200B
Arroyo Grande, CA 93420-3348

Mailing address

200 Station Way
Ste 200B
Arroyo Grande, CA 93420-3348
Phone (805) 489-1409

Other names 1

  • Plastic, Reconstructive & Hand Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

200 Station Way
Ste 200B
Arroyo Grande, CA 93420
Phone (805) 489-1409

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1255459020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STATION WAY",
            "address_2": "STE 200B",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203348",
            "telephone_number": "805-489-1409",
            "fax_number": "895-489-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STATION WAY",
            "address_2": "STE 200B",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203348",
            "telephone_number": "805-489-1409",
            "fax_number": "895-489-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L GRISEZ, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "GRISEZ",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MADELINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-489-1409",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plastic, Reconstructive & Hand Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.