Individual provider Active NPI

Nicolaas Martin Grobler Jr., MD

  • Pulmonary Disease Physician
  • Upland, CA
National Provider Identifier
1720154255
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A89047 Issued in CA
Practice address
350 S Euclid Ave Ste C
Upland, CA 91786-6665
Phone
(909) 591-6575
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A89047 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A89047 CA
Hospitalist Physician 208M00000X A89047 CA
Pulmonary Disease Physician 207RP1001X A89047 CA Primary

Addresses

Primary practice location

350 S Euclid Ave Ste C
Upland, CA 91786-6665

Mailing address

350 S Euclid Ave Ste C
Upland, CA 91786-6665
Phone (909) 591-6575

Other identifiers 1

IdentifierTypeStateIssuer
00A890470MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090408000008 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8820160880 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grobler Enterprises IncGroup PAC ID 7012060189, 3 clinicians
Inland Physicians Pulmonary ServicesGroup PAC ID 4981008760, 7 clinicians

Practice addresses (Care Compare)

350 S Euclid Ave
Suite C
Upland, CA 91786-6665
Phone (909) 591-6575

9525 Monte Vista Ave
Suite 105
Montclair, CA 91763-2231
Phone (909) 626-1205

Hospital & facility affiliations

  • Lorian Health Home health agency, Riverside, CA, CCN 059464
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • Casa Colina Hospital Hospital, Pomona, CA, CCN 050782
  • Montclair Hospital Medical Center Hospital, Montclair, CA, CCN 050758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
89047CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Physicians Hospitalist Services Hospitalist CurrentSince May 1, 2021 Accepting new patients
Inland Physicians Pulmonary Services Pulmonary Disease CurrentSince Dec 15, 2020 Accepting new patients
Inland Pulmonary Medical Group Internal Medicine CurrentSince May 15, 2008 Accepting new patients
Grobler Enterprises Inc Internal Medicine CurrentSince May 1, 2009 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients
Staten Island University Hospital Past Accepting new patients
Florida Hospital Medical Group Inc Internal Medicine Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Pulmonary Care of Central Florida PastSince Aug 1, 2003 Accepting new patients
Primecare Medical Group Internal Medicine Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Adventist Health System-Sunbelt, Inc Past Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Past Accepting new patients

Locations

5562 Philadelphia St
Ste 201
Chino, CA 91710
Phone (909) 614-4412

11760 Central Ave
Ste 100
Chino, CA 91710
Phone (909) 248-3744

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

9525 Monte Vista Ave
Unit 105
Montclair, CA 91763
Phone (909) 626-1205

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

9655 Monte Vista Ave
Ste 402
Montclair, CA 91763
Phone (909) 591-6575

1435 S Grove Ave
Ste 8
Ontario, CA 91761
Phone (909) 983-0027

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

350 S Euclid Ave
Ste C
Upland, CA 91786
Phone (909) 591-6575

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

637 N 13th Ave
Upland, CA 91786
Phone (909) 625-1977

1113 Alta Ave
Ste 220
Upland, CA 91786
Phone (909) 985-1908

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: n.grobler@ipmg.directbygreenway.com
  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1720154255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S EUCLID AVE STE C",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866665",
            "telephone_number": "909-591-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S EUCLID AVE STE C",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866665",
            "telephone_number": "909-591-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBLER",
        "first_name": "NICOLAAS",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2021-11-16",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A89047",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A89047",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A89047",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A89047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A890470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.