Organization Active NPI

J R Grandhe MD Medical Corp

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1366852980
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95000364 Issued in CA
Legal business name
J R GRANDHE MD MEDICAL CORP
Practice address
6401 Truxtun Ave Ste B
Bakersfield, CA 93309-0674
Phone
(661) 327-9300
NPI assigned
May 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
J. R. Grandhe
Title
MD
Phone
(661) 327-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 95000364 CA Primary

Addresses

Primary practice location

6401 Truxtun Ave Ste B
Bakersfield, CA 93309-0674

Mailing address

6401 Truxtun Ave Ste B
Bakersfield, CA 93309-0674

National Provider Directory

National Provider Directory
Tax ID family
Central Valley Pain Management3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1366852980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 TRUXTUN AVE STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 TRUXTUN AVE STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090674",
            "telephone_number": "661-327-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J R GRANDHE MD MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "GRANDHE",
        "authorized_official_first_name": "J. R.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "661-327-9300"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95000364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.