NPIMap

Organization Active NPI

Granger Medical Clinic

  • Otolaryngology Physician
  • West Valley City, UT
National Provider Identifier
1407036619
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
GRANGER MEDICAL CLINIC
Practice address
4052 Pioneer Pkwy
Suite 210
West Valley City, UT 84120-2062
Phone
(801) 966-8534
Fax
(801) 966-8533
NPI assigned
Nov 6, 2007
Organization subpart
Yes
Parent organization
GRANGER MEDICAL CLINIC, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Jon Richard Aoki, M.D.
Title
Physician
Phone
(801) 965-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

4052 Pioneer Pkwy
Suite 210
West Valley City, UT 84120-2062

Mailing address

3725 W 4100 S
West Valley City, UT 84120-5530
Phone (801) 965-3600

Other names 1

  • Jon Richard Aoki Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David W McCray M D7 organizations share this tax ID, including this one
Part of
David W McCray M D

Other organizations with this tax ID 6

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

Locations

4052 W Pioneer Pkwy
Ste 210
West Valley City, UT 84120
Phone (801) 966-8534

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1407036619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 W 4100 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841205530",
            "telephone_number": "801-965-3600",
            "fax_number": "801-965-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 PIONEER PKWY",
            "address_2": "SUITE 210",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841202062",
            "telephone_number": "801-966-8534",
            "fax_number": "801-966-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANGER MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRANGER MEDICAL CLINIC, INC",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "AOKI",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "801-965-3600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jon Richard Aoki",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.