David M. Grossman, M.D., Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A52722 Issued in CA

Legal business name

DAVID M. GROSSMAN, M.D., MEDICAL CORPORATION

Practice address

18375 Ventura Blvd
Suite 640
Tarzana, CA 91356-4218

Phone

(818) 908-8048

Fax

(818) 908-8072

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David M. Grossman, M.D.

Title

Physician/Owner

Phone

(818) 528-1290

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1447208194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 ETIWANDA AVE.",
            "address_2": "SUITE 200",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566131",
            "telephone_number": "818-528-1290",
            "fax_number": "818-528-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18375 VENTURA BLVD",
            "address_2": "SUITE 640",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564218",
            "telephone_number": "818-908-8048",
            "fax_number": "818-908-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. GROSSMAN, M.D., MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "818-528-1290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A527220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.