Individual provider Active NPI

Gilbert Moreno Grinie, MS, CDC, RW

  • Addiction (Substance Use Disorder) Counselor
  • Garden Grove, CA
National Provider Identifier
1366530156
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
RW0941 Issued in CA
Practice address
7281 Garden Grove Blvd Ste H
Same As Above
Garden Grove, CA 92841-4212
Phone
(714) 539-4544
Fax
(714) 539-5483
NPI assigned
Oct 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X RW0941 CA Primary

Addresses

Primary practice location

7281 Garden Grove Blvd Ste H
Same As Above
Garden Grove, CA 92841-4212

Mailing address

7281 Garden Grove Blvd Suite H
Garden Grove, CA 92844
Phone (714) 539-4544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
RW0941CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366530156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7281 GARDEN GROVE BLVD SUITE H",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92844",
            "telephone_number": "714-539-4544",
            "fax_number": "714-539-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7281 GARDEN GROVE BLVD STE H",
            "address_2": "SAME AS ABOVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414212",
            "telephone_number": "714-539-4544",
            "fax_number": "714-539-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINIE",
        "first_name": "GILBERT",
        "middle_name": "MORENO",
        "name_prefix": "Mr.",
        "credential": "MS, CDC, RW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RW0941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.