V. L. Grant M. D. PMC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G87310 Issued in CA

Legal business name

V. L. GRANT M. D. PMC

Practice address

1008 Fowler Way
Suite B
Placerville, CA 95667-5701

Phone

(530) 621-1444

Fax

(530) 621-1480

NPI assigned

Mar 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vincent L. Grant, M.D.

Title

Medical Doctor President

Phone

(530) 621-1444

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Albert Joseph Divittorio Jr., M. D.

  • Specialist
  • Placerville, CA
  • NPI 1326021825
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275665812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 FOWLER WAY",
            "address_2": "SUITE B",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675701",
            "telephone_number": "530-621-1444",
            "fax_number": "530-621-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 FOWLER WAY",
            "address_2": "SUITE B",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675701",
            "telephone_number": "530-621-1444",
            "fax_number": "530-621-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V. L. GRANT M. D. PMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR  PRESIDENT",
        "authorized_official_telephone_number": "530-621-1444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G87310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ulloa
• Brent Charles Ulrici
• Catherine Maria Underwood, MFT
• Michael Ungeheuer, RN MN PHN
• Patricia Ann Urban
• Laura Valdez
• Michelle Vanalen
• Sharee Vance, MFT
• Warren Taylor Vance, M. D.
• Tara Vanderpool, RN

• Surgery Physician in Placerville, CA
• Providers in Placerville, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.