Ira Kenneth Grove, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C51338 Issued in CA

Practice address

4060 Whittier Blvd
Los Angeles, CA 90023-2526

Phone

(323) 268-5514

NPI assigned

May 26, 2006

Last updated

Mar 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ira.grove.p1@direct.lakeside.nextgenshare.com
• Direct secure messaging: kenneth.grove.p1@direct.toiyabe.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affordable Medical Center & Urgent Care Inc

  • Urgent Care Clinic/Center
  • Los Angeles, CA
  • NPI 1972146843
  Medicare reassignment NPD
• Doctors Managed Emergency Medical Group Inc.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1922241843

  Emergency Medicine

  Medicare reassignment NPD
• Huntington Park Emergency Physicians, Inc

  • Emergency Medicine Physician
  • Huntington Park, CA
  • NPI 1053747121
  Medicare reassignment NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Santa Ana, CA
  • NPI 1740519081
  Medicare reassignment NPD
• Nagasamudra S Ashok MD Inc

  dba San Jacinto Family Urgent Care

  • Internal Medicine Physician
  • San Jacinto, CA
  • NPI 1477647386
  Medicare reassignment NPD
• New Ananda Medical and Urgent Care, Inc.

  • Internal Medicine Physician
  • El Monte, CA
  • NPI 1417097452
  Medicare reassignment NPD
• Next Door Med Net Inc.

  dba Next Door Community Clinic

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1497258263
  Medicare reassignment NPD
• Socal Healthnet Inc

  dba St. Luke Medical Clinic

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1487832655
  Medicare reassignment NPD
• Cure4Feet Podiatry Group Inc

  • Foot & Ankle Surgery Podiatrist
  • North Hollywood, CA
  • NPI 1104149269
  NPD
• Green Cross Med Net Inc

  dba Green Cross Medical Clinic

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1851609176
  NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Gardena, CA
  • NPI 1750686911
  NPD
• Lakeside Medical Organization, a Medical Group Inc.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1831426642

  Family Medicine

  NPD

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1659327112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11600",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926851600",
            "telephone_number": "562-809-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232526",
            "telephone_number": "323-268-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "IRA",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C51338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659327112",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abraham Hershel Grosswasser, D.C.
• Margaret C Grosvenor, MPH, RD, CHES
• Karolina Grotkowski Reed, PHD
• Laurie Grotstein, LMFT
• Mark Groubert
• Sarah Grove, LVN
• Sophie Ione Grove
• Thomas M Grove, MD
• Hannah Groveman
• Alex Grover, L.AC

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.