Organization Active NPI

Los Angeles PM & R Medical Group Inc

  • Physical Medicine & Rehabilitation Physician
  • Arcadia, CA
National Provider Identifier
1275648735
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
LOS ANGELES PM & R MEDICAL GROUP INC
Practice address
289 W Huntington Dr Ste 201
Arcadia, CA 91007-3490
Phone
(626) 304-9060
Fax
(626) 304-9010
NPI assigned
Aug 21, 2006
Last updated
Apr 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Liva GrittonNPI 1528184033
Title
Secretary
Phone
(626) 304-9060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

289 W Huntington Dr Ste 201
Arcadia, CA 91007-3490

Mailing address

960 E Green St
Suite 254
Pasadena, CA 91106-2412
Phone (626) 304-9060

National Provider Directory

National Provider Directory

Locations

289 W Huntington Dr
Ste 201
Arcadia, CA 91007
Phone (626) 304-9060

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1275648735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST",
            "address_2": "SUITE 254",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062412",
            "telephone_number": "626-304-9060",
            "fax_number": "626-304-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 W HUNTINGTON DR STE 201",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073490",
            "telephone_number": "626-304-9060",
            "fax_number": "626-304-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES PM & R MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "GRITTON",
        "authorized_official_first_name": "LIVA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "626-304-9060"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.