Individual provider Active NPI

Jeffrey Nathan Grant, MD

  • Internal Medicine Physician
  • West Hollywood, CA
National Provider Identifier
1346304870
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A24260 Issued in CA
Practice address
8733 Beverly Blvd
West Hollywood, CA 90048-1842
Phone
(310) 659-4511
Fax
(310) 659-1520
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A24260 CA Primary

Addresses

Primary practice location

8733 Beverly Blvd
West Hollywood, CA 90048-1842

Mailing address

8733 Beverly Blvd
West Hollywood, CA 90048-1842
Phone (310) 659-4511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120110000240 CA Practitioner - Internal Medicine 5294901427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 1970
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8733 Beverly Blvd
West Hollywood, CA 90048-1879

8733 Beverly Blvd
Suite 410
West Hollywood, CA 90048-1842
Phone (310) 659-4511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A24260CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Nathan Grant,M.D. a Medical Corp CurrentSince Oct 30, 1981 Accepting new patients

Locations

8733 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 657-1635

8733 Beverly Blvd
Ste 410
West Hollywood, CA 90048
Phone (310) 652-4800

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1346304870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481842",
            "telephone_number": "310-659-4511",
            "fax_number": "310-659-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481842",
            "telephone_number": "310-659-4511",
            "fax_number": "310-659-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JEFFREY",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A24260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.