Judith Grkinich, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN814931 Issued in CA

Practice address

1333 Chestnut Avenue
Long Beach, CA 90813-2944

Phone

(562) 753-2301

NPI assigned

Sep 13, 2012

Reactivated

Jan 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1285984617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 CHESTNUT AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908132944",
            "telephone_number": "562-753-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 CHESTNUT AVENUE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908132944",
            "telephone_number": "562-753-2301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 Angeles Vista Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90043",
            "country_code": "US",
            "telephone_number": "323-295-4555",
            "fax_number": "323-295-3021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRKINICH",
        "first_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "deactivation_date": "2020-04-30",
        "reactivation_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN814931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Grippi Knaus, L.E.
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• Lawrence David Grissom Jr.
• Catherine D Gritchen, MD
• Michael David Gritz, D.D,S,
• Abigail Groom
• Brian Groover
• Kailee Anne Groscost
• Hannah Gross, RD
• James Earl Gross Jr.

• Registered Nurse in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.