Doctor Charles Gruver, Incorporated

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DOCTOR CHARLES GRUVER, INCORPORATED

Practice address

822 S Robertson Blvd
Los Angeles, CA 90035-1613

Phone

(310) 651-6937

NPI assigned

Sep 14, 2020

Last updated

Sep 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Gruver, MDNPI 1811342223

Title

President and Ceo

Phone

(818) 415-3827

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Gruver, MD

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1811342223
  NPD Authorized official
• Brian H Tong, AGPCNP-BC

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1235914391
  NPD

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1639784978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 S ADAMS ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052527",
            "telephone_number": "818-415-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351613",
            "telephone_number": "310-651-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR CHARLES GRUVER, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "GRUVER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "818-415-3827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marrisha Dockery
• Docrd L.L.C.
• Docs Health Medical Group
• Docs Surgical Hospital
• Doctor Bogard Chang Optometry Inc
• Doctor Gwendolyn Yee Chang Optometry, a Professional Corporation (ClearSight Optometry)
• Doctor Joseph Enayati, Inc (Beverly Hills Advanced Pain and Spine)
• Doctor Matthews Inc
• Farokh Doctormajdi
• Doctornow

• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.