Individual provider Active NPI

Kirat K Grewal, MD

  • Pediatrics Physician
  • Seal Beach, CA
National Provider Identifier
1265630982
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A92116 Issued in CA
Practice address
1650 Pacific Coast Hwy Ste B
Seal Beach, CA 90740-6253
Phone
(714) 794-9410
Fax
(657) 215-6569
NPI assigned
Jul 3, 2007
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A92116 CA Primary

Addresses

Primary practice location

1650 Pacific Coast Hwy Ste B
Seal Beach, CA 90740-6253

Mailing address

1650 Pacific Coast Hwy Ste B
Seal Beach, CA 90740-6253
Phone (562) 439-5480

Other names 1

  • Kirat K Malhi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A92116CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kirat K. Grewal MD, Inc. Pediatrics CurrentSince Jan 21, 2024 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

1650 Pacific Coast Hwy
Ste B
Seal Beach, CA 90740
Phone (562) 230-6089

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1265630982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 PACIFIC COAST HWY STE B",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406253",
            "telephone_number": "562-439-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 PACIFIC COAST HWY STE B",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406253",
            "telephone_number": "714-794-9410",
            "fax_number": "657-215-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "KIRAT",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A92116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRAT",
            "last_name": "MALHI",
            "middle_name": "K",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.