Victor Kimball Grandt, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016005143 Issued in IL

Practice address

4946 W Mineral King
Visalia, CA 93291

Phone

(559) 624-1405

Fax

(559) 624-1746

NPI assigned

Jul 28, 2005

Last updated

Oct 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Victor K Grandt DPM Inc

  dba In Stride Foot Care

  • Foot & Ankle Surgery Podiatrist
  • Visalia, CA
  • NPI 1467780106
  Authorized official Same address or phone
• Sequoia Foot Care Group Fka Visalia-Tulare Podiatry Group

  • Foot & Ankle Surgery Podiatrist
  • Visalia, CA
  • NPI 1437202041
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1396745659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4946 W MINERAL KING",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93291",
            "telephone_number": "559-624-1405",
            "fax_number": "559-624-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4946 W MINERAL KING",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93291",
            "telephone_number": "559-624-1405",
            "fax_number": "559-624-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDT",
        "first_name": "VICTOR",
        "middle_name": "KIMBALL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005143",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce H Graham, MD
• Bryce Carter Angelo Granata, MD
• Robert Thomas Granata
• Jayna Granda
• Cecilia Grandeno-Quintanar
• Kevin Anthony Gray, LMFT
• Thomas Lawrence Gray, M.D.
• Linda S. Grayson
• Kandice Green-Lopez
• Felicia Lynette Green, MHRS

• Podiatrist in Visalia, CA
• Providers in Visalia, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.