Gary Grimes MD a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GARY GRIMES MD A PROFESSIONAL CORPORATION

Practice address

22801 Ventura Blvd Unit 115-C
Woodland Hills, CA 91364-1222

Phone

(661) 267-0777

NPI assigned

May 24, 2024

Organization subpart

No

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

Authorized official

Name

Gary Grimes, MDNPI 1922172089

Title

Ceo

Phone

(661) 499-8346

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.

• Gary Austin Grimes, MD

  • Family Medicine Physician
  • Palmdale, CA
  • NPI 1922172089
  NPD Authorized official

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1306685615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22801 VENTURA BLVD UNIT 115-C",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22801 VENTURA BLVD UNIT 115-C",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641222",
            "telephone_number": "661-267-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY GRIMES MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-499-8346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hercilia Carmen Garnica
• Annette Garrett
• Laritza Garrido
• Laurie Garris
• John J Garrison
• Linda Ann Gary, MFT
• Angela Rae Garza
• Jocelyn Dinora Gasca
• Lisa Gascho, LCSW
• Andzelika Gasienica

• Family Medicine Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.