Victor K Grandt DPM Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4724 Issued in CA

Legal business name

VICTOR K GRANDT DPM INC

Practice address

4946 W Mineral King Ave
Visalia, CA 93291-5243

Phone

(559) 624-1405

Fax

(559) 624-1746

NPI assigned

Nov 18, 2009

Organization subpart

No

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

Authorized official

Name

Victor K. Grandt, DPM

Title

President

Phone

(559) 624-1405

Specialties & licenses 1

Addresses

Other names 1

• In Stride Foot Care Doing business as

Locations

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1467780106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4946 W MINERAL KING AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915243",
            "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 AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915243",
            "telephone_number": "559-624-1405",
            "fax_number": "559-624-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR K GRANDT DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GRANDT",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-624-1405",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In Stride Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Visalia, CA
• Providers in Visalia, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.