Individual provider Active NPI

Geeta Grover, MD

  • Developmental - Behavioral Pediatrics Physician
  • Laguna Niguel, CA
National Provider Identifier
1508901927
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
G067016 Issued in CA
Practice address
30131 Town Center Drive
Suite 130
Laguna Niguel, CA 92677
Phone
(949) 249-6920
Fax
(949) 249-6930
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X G067016 CA Primary

Addresses

Primary practice location

30131 Town Center Drive
Suite 130
Laguna Niguel, CA 92677

Mailing address

30131 Town Center Drive
Suite 130
Laguna Niguel, CA 92677
Phone (949) 249-6920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040107001014 CA Practitioner - Pediatric Medicine 9335048347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G067016CAMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents Uci Dept of Pediatrics CurrentSince Oct 13, 2006 Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients
Pediatric Subspecialty Faculty, Inc. Past Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients

Locations

19200 Jamboree Rd
Ste 1100
Irvine, CA 92612

1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481

1915 W Orangewood Ave
Ste 200
Orange, CA 92868
Phone (714) 939-6118

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

2500 Red Hill Ave
Santa Ana, CA 92705
Phone (949) 267-0448

2500 Red Hill Ave
Ste 100
Santa Ana, CA 92705
Phone (949) 267-0400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508901927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DRIVE",
            "address_2": "SUITE 130",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677",
            "telephone_number": "949-249-6920",
            "fax_number": "949-249-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DRIVE",
            "address_2": "SUITE 130",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677",
            "telephone_number": "949-249-6920",
            "fax_number": "949-249-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "GEETA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CA",
            "license": "G067016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.