Grandview Medical Group, Inc.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

GRANDVIEW MEDICAL GROUP, INC.

Practice address

315 N 3Rd Ave Ste 200
Covina, CA 91723-1915

Phone

(626) 967-3176

NPI assigned

May 30, 2022

Organization subpart

Yes

Parent organization

GRANDVIEW MEDICAL GROUP, INC.As reported in NPPES

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

Authorized official

Name

Maritess Yee, RN

Title

Board Member

Phone

(626) 967-3176

Specialties & licenses 1

Addresses

Tax ID family

Grandview Medical Group Inc2 organizations share this tax ID, including this one

Part of

Grandview Medical Group Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grandview Medical Group, Inc.

  • Interventional Cardiology Physician
  • Covina, CA
  • NPI 1356007819
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9954/brand/1/csg/1/fhir/r4/

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Grandview Medical Group, Inc.

  • Interventional Cardiology Physician
  • Covina, CA
  • NPI 1356007819
  NPPES parent name

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

{
    "created_epoch": "1653868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653868800000",
    "number": "1295474260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 HIGHLIGHT DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913492",
            "telephone_number": "626-422-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE STE 200",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231915",
            "telephone_number": "626-967-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRANDVIEW MEDICAL GROUP, INC.",
        "enumeration_date": "2022-05-30",
        "last_updated": "2022-05-30",
        "certification_date": "2022-05-30",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "MARITESS",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "626-967-3176",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Clarice Graciano
• Marelia Alexandra Grady
• Leslie Grajeda
• Amber Jeannette Gramajo
• Julianna Granados
• Grandview Medical Group, Inc.
• Sarah Lynn Granholm
• Tiffany Granja
• Karen Lynette Grant, BEHAVIOR TECHNICIAN
• Karleha Grant

• Interventional Pain Medicine Physician in Covina, CA
• Providers in Covina, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.