Organization Active NPI

I. Grossman M.D., Inc.

  • Diagnostic Radiology Physician
  • Oxnard, CA
National Provider Identifier
1366463572
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G192191 Issued in CA
Legal business name
I. GROSSMAN M.D., INC.
Practice address
2001 Solar Dr Ste 135
Oxnard, CA 93036-0635
Phone
(805) 861-2200
Fax
(805) 861-2201
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Dr. Irwin Grossman, M.D.
Title
Managing Member
Phone
(805) 861-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X G192191 CA Primary

Addresses

Primary practice location

2001 Solar Dr Ste 135
Oxnard, CA 93036-0635

Mailing address

2001 Solar Dr Ste 135
P.O. Box 6305
Oxnard, CA 93036-0635
Phone (805) 861-2200

Other names 1

  • Grossman Imaging Center Other name

National Provider Directory

National Provider Directory

Locations

2001 Solar Dr
Ste 135
Oxnard, CA 93036
Phone (805) 861-2200

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1366463572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SOLAR DR STE 135",
            "address_2": "P.O. BOX 6305",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360635",
            "telephone_number": "805-861-2200",
            "fax_number": "805-861-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SOLAR DR STE 135",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360635",
            "telephone_number": "805-861-2200",
            "fax_number": "805-861-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I. GROSSMAN M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "805-861-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G192191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grossman Imaging Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.