Active NPI
Steven Albert Grinsted, PT
- Specialist
- Los Angeles, CA
National Provider Identifier
1497765986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 24988
- Practice address
- 708 W 1St St
Los Angeles, CA 90012-2442 - Phone
- (213) 617-2947
- Fax
- (213) 617-2903
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 24988 | CA | Primary |
Addresses
Primary practice location
708 W 1St St
Los Angeles, CA 90012-2442
Mailing address
708 W 1St St
Los Angeles, CA 90012-2442
Phone (213) 617-2947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ66237Z | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
708 W 1St St
Los Angeles, CA 90012-2442
Phone (213) 617-2947
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24988 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axispt, Inc | Specialist | Current | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Locations
708 W 1st St
Los Angeles, CA 90012
Phone (213) 617-2947
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Los Angeles, CA
- NPI 1255369260
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1497765986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 W 1ST ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122442",
"telephone_number": "213-617-2947",
"fax_number": "213-617-2903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 W 1ST ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122442",
"telephone_number": "213-617-2947",
"fax_number": "213-617-2903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINSTED",
"first_name": "STEVEN",
"middle_name": "ALBERT",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "24988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ66237Z",
"state": "CA"
}
],
"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 Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.