Active NPI
Grant P.C.
- Pediatric Dentistry
- Culver City, CA
National Provider Identifier
1366355471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- GRANT P.C.
- Practice address
- 10960 Jefferson Blvd
Culver City, CA 90230-4931 - Phone
- (510) 982-6179
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sederic Grant, DDS
- Title
- Owner
- Phone
- (510) 982-6179
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | NU | Primary |
Addresses
Primary practice location
10960 Jefferson Blvd
Culver City, CA 90230-4931
Mailing address
10960 Jefferson Blvd
Culver City, CA 90230-4931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1366355471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10960 JEFFERSON BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10960 JEFFERSON BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304931",
"telephone_number": "510-982-6179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANT P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "SEDERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "510-982-6179",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.