NPIMap

Organization Active NPI

Hannah Grossman

  • Gynecology Physician
  • Thousand Oaks, CA
National Provider Identifier
1629306253
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G051580 Issued in CA
Legal business name
HANNAH GROSSMAN
Practice address
558 N Ventu Park Rd
Suite a
Thousand Oaks, CA 91320-2718
Phone
(805) 498-0240
Fax
(818) 817-9835
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Dr. Hannah Grossman, M.D.
Title
Owner
Phone
(805) 498-0240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X G051580 CA Primary

Addresses

Primary practice location

558 N Ventu Park Rd
Suite a
Thousand Oaks, CA 91320-2718

Mailing address

558 N Ventu Park Rd
Suite a
Thousand Oaks, CA 91320-2718
Phone (805) 498-0240

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1629306253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 N VENTU PARK RD",
            "address_2": "SUITE A",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202718",
            "telephone_number": "805-498-0240",
            "fax_number": "818-817-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 N VENTU PARK RD",
            "address_2": "SUITE A",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202718",
            "telephone_number": "805-498-0240",
            "fax_number": "818-817-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAH GROSSMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-498-0240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G051580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.