Frederick M Grossman, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Practice address

9808 Venice Blvd Ste 200
Culver City, CA 90232-6809

Phone

(310) 836-1574

NPI assigned

Jun 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• American Mobile Diagnostics Inc

  • Vascular Specialist/Technologist Cardiovascular
  • Glendale, CA
  • NPI 1720207616
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578769477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 200",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326809",
            "telephone_number": "310-836-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 200",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326809",
            "telephone_number": "310-836-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "FREDERICK",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Karen Grimes, PH.D.
• Tiffany Shantel Grimes, PHD
• Sarah Ann Grogan
• Elliot Gross, M.D.
• Robert Alan Gross, MD
• Merlyn Ann Grossman, NP
• Groupo Aquila
• Gregory Grunke
• Barbara Guadarrama
• Nicandor Guajardo

• Diagnostic Radiology Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.