Drayton P Graham a Medical Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

G27833 Issued in CA

Legal business name

DRAYTON P GRAHAM A MEDICAL CORPORATION

Practice address

4477 W 118TH St
Ste. 401
Hawthorne, CA 90250-2255

Phone

(310) 970-1930

Fax

(310) 970-1979

NPI assigned

Dec 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Drayton P Graham Jr., MD

Title

President

Phone

(310) 970-1930

Specialties & licenses 2

Addresses

Other names 1

• DRAYTON P GRAHAM MD INC Other name

Locations

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1306149083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4477 W 118TH ST STE 405",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502259",
            "telephone_number": "310-970-1930",
            "fax_number": "928-268-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 W 118TH ST",
            "address_2": "STE. 401",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502255",
            "telephone_number": "310-970-1930",
            "fax_number": "310-970-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAYTON P GRAHAM A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "DRAYTON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-970-1930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G27833",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G27833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRAYTON P GRAHAM MD INC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "DRAYTON P GRAHAM MD INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinic/Center in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.