Active NPI
Diane Marie Grant, D.C.
- Chiropractor
- Lakewood, CA
National Provider Identifier
1386669349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC23145
- Practice address
- 5836 Bellflower Blvd
Lakewood, CA 90713-1058 - Phone
- (562) 461-3998
- Fax
- (562) 920-3087
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC23145 | CA | Primary |
Addresses
Primary practice location
5836 Bellflower Blvd
Lakewood, CA 90713-1058
Mailing address
5836 Bellflower Blvd
Lakewood, CA 90713-1058
Phone (562) 461-3998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC23145 | CA | MD | Chiropractor |
| 23145 | CA | MD | Family Nurse Practitioner |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Chiropractic Massage & Nutrition
- Chiropractor
- Lakewood, CA
- NPI 1013195056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1386669349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5836 BELLFLOWER BLVD",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907131058",
"telephone_number": "562-461-3998",
"fax_number": "562-920-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5836 BELLFLOWER BLVD",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907131058",
"telephone_number": "562-461-3998",
"fax_number": "562-920-3087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "DIANE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC23145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.