Jennifer B Grove, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9900T Issued in CA

Practice address

1155 S Diamond Bar Blvd Ste J
Diamond Bar, CA 91765-2235

Phone

(909) 861-0163

NPI assigned

Feb 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659414316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 S DIAMOND BAR BLVD STE J",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652235",
            "telephone_number": "909-861-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 S DIAMOND BAR BLVD STE J",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652235",
            "telephone_number": "909-861-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "JENNIFER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9900T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0099000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Melissa Goodson
• Chandan Gowda, DO
• Green Life Ultrasound USA
• Tom Greenbert
• Matthew Grelling, M.A. M.F.T.
• Sateesh Kumar Gunda, M.D.
• H. Shah, M.D., Inc.
• Soo Ihl Ha, L.A.C.
• Ronda L Hampton, PH.D.
• Yanqing Han, LAC

• Optometrist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Optometrist 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.