Individual provider Active NPI

Ana Maria Grijalvo Perez, MD

  • Clinic/Center
  • La Jolla, CA
National Provider Identifier
1336477611
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A111723 Issued in CA
Practice address
9350 Campus Point Dr
Suite LL-B
La Jolla, CA 92037-1300
Phone
(858) 822-5871
NPI assigned
Nov 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X A111723 CA
Clinic/Center 261Q00000X A111723 CA Primary

Addresses

Primary practice location

9350 Campus Point Dr
Suite LL-B
La Jolla, CA 92037-1300

Mailing address

1520 Madison Ave
San Diego, CA 92116-1145
Phone (619) 298-2554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
111723CAMDDentist
A111723CAMDClinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Pediatrics Associates Clinic/Center Past Accepting new patients
University of California San Francisco Past Accepting new patients
University of California San Francisco Medical Center General Acute Care Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: agrijalvoperez74025@direct-ucsfmedicalcenter.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1336477611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 MADISON AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921161145",
            "telephone_number": "619-298-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 CAMPUS POINT DR",
            "address_2": "SUITE LL-B",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371300",
            "telephone_number": "858-822-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIJALVO PEREZ",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A111723",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A111723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.