Grigory Davidovsky

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

1448 N Sierra Bonita Ave
Los Angeles, CA 90046-4112

Phone

(323) 850-0578

Fax

(323) 297-5151

NPI assigned

Nov 14, 2008

Last updated

Dec 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1659525715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 N SIERRA BONITA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464112",
            "telephone_number": "323-850-0578",
            "fax_number": "323-297-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 N SIERRA BONITA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464112",
            "telephone_number": "323-850-0578",
            "fax_number": "323-297-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOVSKY",
        "first_name": "GRIGORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-14",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Davidian
• Colleen Davidoff, LCSW
• Julia Davidoff, M.D.
• Michael Davidov, D.D.S.
• Victoria Davidovsky Lucas, D.C.
• Pesia Davidowitz, LBA, BCBA
• Davids Pharmacy
• Davidson Marriage and Family Therapy Group Inc
• Davidson Marriage and Family Therapy Professional Corporation
• Bahareh Rebecca Davidson, PHARMD

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.