Active NPI
Frederick Grady, MD
- Internal Medicine Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A189123
- Practice address
- 8767 Wilshire Blvd FL 2
Beverly Hills, CA 90211-2714 - Phone
- (424) 315-0289
- NPI assigned
- Mar 22, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | A189123 | CA | Primary |
Addresses
Primary practice location
8767 Wilshire Blvd FL 2
Beverly Hills, CA 90211-2714
Mailing address
1200 N State St Ste A7D
Los Angeles, CA 90089-1001
Phone (323) 409-7556
Other practice location 1
1200 N State St Ste A7D
Los Angeles, CA 90089-1001
Phone (323) 409-7556
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Meharry Medical College School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8767 Wilshire Blvd
FL 2
Beverly Hills, CA 90211-2714
Phone (310) 385-3200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A189123 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Internal Medicine | Current | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
8767 Wilshire Blvd
Fl 2
Beverly Hills, CA 90211
Phone (310) 248-7000
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
Interoperability endpoints
- fgrady506162@direct.cshs.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- North Hollywood, CA
- NPI 1487124871
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- Home Health Agency
- Chatsworth, CA
- NPI 1093801680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1265018105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N STATE ST STE A7D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900891001",
"telephone_number": "323-409-7556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8767 WILSHIRE BLVD FL 2",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112714",
"telephone_number": "424-315-0289"
}
],
"practiceLocations": [
{
"address_1": "1200 N State St Ste A7D",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900891001",
"country_code": "US",
"telephone_number": "323-409-7556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRADY",
"first_name": "FREDERICK",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-22",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A189123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.