Grandview Medical Group, Inc.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

GRANDVIEW MEDICAL GROUP, INC.

Practice address

625 E Badillo St
Covina, CA 91723-2800

Phone

(626) 915-7300

NPI assigned

Nov 9, 2021

Organization subpart

No

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

Authorized official

Name

Maritess Yee, RN

Title

Board Member

Phone

(626) 422-0121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Grandview Medical Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grandview Medical Group, Inc.

  • Interventional Pain Medicine Physician
  • Covina, CA
  • NPI 1295474260
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Grandview Medical Group, Inc.

  • Interventional Pain Medicine Physician
  • Covina, CA
  • NPI 1295474260
  NPPES parent name

Practitioners 6

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

• Charlotte Capulong, NP-C

  • Nurse Practitioner
  • Glendora, CA
  • NPI 1417370065
  Medicare reassignment Care Compare group NPD
• Robert Anthony Lugo III, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Colton, CA
  • NPI 1619311412
  Medicare reassignment Care Compare group NPD
• Dinesh Raghunath Samant, MD

  • Cardiovascular Disease Physician
  • Covina, CA
  • NPI 1417939596
  Medicare reassignment Care Compare group NPD
• Jessica White, FNP-BC

  • Family Nurse Practitioner
  • Covina, CA
  • NPI 1427852086
  Medicare reassignment Care Compare group NPD
• Shelly N Bagai Lapsi, MD

  • Ophthalmology Physician
  • Covina, CA
  • NPI 1376555862
  NPD (past)
• Ben Shwachman, M.D.

  • Interventional Pain Medicine Physician
  • Covina, CA
  • NPI 1346247335
  NPD (past)

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1356007819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232800",
            "telephone_number": "626-422-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232800",
            "telephone_number": "626-915-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "MARITESS",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "626-422-0121",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marelia Alexandra Grady
• Leslie Grajeda
• Amber Jeannette Gramajo
• Julianna Granados
• Grandview Medical Group, Inc.
• Sarah Lynn Granholm
• Tiffany Granja
• Karen Lynette Grant, BEHAVIOR TECHNICIAN
• Karleha Grant
• Rosalyn Grant

• Interventional Cardiology Physician in Covina, CA
• Providers in Covina, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.