Active NPI
Navraj S Grewal, MD
- Diagnostic Radiology Physician
- Loma Linda, CA
National Provider Identifier
1659348050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A65442
- Practice address
- 11201 Benton St
Imaging Mail Code 114
Loma Linda, CA 92357 - Phone
- (909) 488-6032
- NPI assigned
- Mar 3, 2006
- Last updated
- Sep 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A65442 | CA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 036094798 | IL |
Addresses
Primary practice location
11201 Benton St
Imaging Mail Code 114
Loma Linda, CA 92357
Mailing address
11201 Benton St
Imaging Mail Code 114
Loma Linda, CA 92357
Phone (909) 488-6032
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130115000126 | CA | Practitioner - Diagnostic Radiology | 1850461948 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036094798 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Radiology LTD | Diagnostic Radiology | Past | Accepting new patients |
| Renaissance Radiology Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Victorville, CA
- NPI 1932104908
-
- Diagnostic Radiology Physician
- Oak Park, IL
- NPI 1346337565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1659348050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11201 BENTON ST",
"address_2": "IMAGING MAIL CODE 114",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92357",
"telephone_number": "909-488-6032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11201 BENTON ST",
"address_2": "IMAGING MAIL CODE 114",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92357",
"telephone_number": "909-488-6032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREWAL",
"first_name": "NAVRAJ",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-03",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A65442",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036094798",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.