Griselda Gonzalez Granados

Primary specialty

DentistTaxonomy code 122300000X

License

2172627 Issued in ZZ

Legal business name

GRISELDA GONZALEZ GRANADOS

Doing business as

Griselda Gonzalez Granados

Practice address

4275 Executive SQ Ste 200
La Jolla, CA 92037-1476

Phone

(800) 743-3900

NPI assigned

Oct 13, 2016

Last updated

Oct 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Griselda Gonzalez Granados, D.D.S

Title

Dentiat

Phone

(800) 743-3900

Specialties & licenses 1

Addresses

Other names 1

• Griselda Gonzalez Granados Doing business as

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1356891329",
    "addresses": [
        {
            "country_code": "MX",
            "country_name": "Mexico",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "AVE. JUAN DE LA BARRERA # 610",
            "address_2": "COL. PROHOGAR",
            "city": "MEXICALI",
            "state": "BAJA CALIFORNIA",
            "postal_code": "21240",
            "telephone_number": "011526865656591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 EXECUTIVE SQ STE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371476",
            "telephone_number": "800-743-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISELDA GONZALEZ GRANADOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ GRANADOS",
        "authorized_official_first_name": "GRISELDA",
        "authorized_official_title_or_position": "DENTIAT",
        "authorized_official_telephone_number": "800-743-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ZZ",
            "license": "2172627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Griselda Gonzalez Granados",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martin Griglak, MD
• Brenda Grijalva, D.C.
• Ana Maria Grijalvo Perez, MD
• Svetlana Grintsvayg, LCSW
• Tomas M Grippo, M.D.
• Bruce Emil Grizer, RNFA
• Dory Elizabeth Grobeck, PA-C
• Erin Andrea Gross, M.D.
• Ian R Grover, MD
• Kenneth Grudko, M.D.

• Dentist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.