NPIMap

Organization Active NPI

Edwin Gromis M.D. a Prof Corp

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1437568250
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A31873 Issued in CA
Legal business name
EDWIN GROMIS M.D. A PROF CORP
Practice address
1122 S. Robertson Blvd Suite 1
Los Angeles, CA 90035
Phone
(310) 273-9626
NPI assigned
Aug 6, 2014
Last updated
Aug 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Dr. Edwin GromisNPI 1932598067
Title
President
Phone
(310) 273-9626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A31873 CA Primary

Addresses

Primary practice location

1122 S. Robertson Blvd Suite 1
Los Angeles, CA 90035

Mailing address

1122 S. Robertson Blvd Suite 1
Los Angeles, CA 90035

National Provider Directory

National Provider Directory

Locations

1122 S Robertson Blvd
Ste 1
Los Angeles, CA 90035
Phone (310) 273-9626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1437568250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 S. ROBERTSON BLVD SUITE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 S. ROBERTSON BLVD SUITE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90035",
            "telephone_number": "310-273-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN GROMIS M.D. A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "GROMIS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-273-9626",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A31873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

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