Active NPI
James L Grisez, MD
- Ambulatory Surgical Clinic/Center
- Arroyo Grande, CA
National Provider Identifier
1255459020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.