Grant Medical Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GRANT MEDICAL CLINIC

Practice address

274 S Atlantic Blvd
Los Angeles, CA 90022-1733

Phone

(323) 267-0442

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Ronald A GrantNPI 1376984187

Title

Owner

Phone

(323) 267-0442

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Argyll Grant, MD

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1376984187
  NPD (past) Authorized official
• Genalyn Gonzales Turingan, PA

  • Medical Physician Assistant
  • Eastvale, CA
  • NPI 1225327257
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1306062930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227037",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900220737",
            "telephone_number": "323-267-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 S ATLANTIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221733",
            "telephone_number": "323-267-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-267-0442"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0065180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Granitz
• Mark Elliott Granoff, M.D.
• Dimitry Klim Granovsky, MFTI
• Grant Adult Day Programs LLC
• Grant Courtney, Licensed Clinical Social Worker, Inc.
• Maria Pia Grant-Tejada, M.D.
• Brendan Michael Grant
• Cheryl Deborah Grant, MFT
• Dario Edward Grant, ASW
• Darrylynn Nicole Grant

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.