Carol S Grunbaum

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13121 Issued in CA

Practice address

771 W Orangethorpe Ave
Fullerton, CA 92832-2806

Phone

(714) 879-6916

NPI assigned

Nov 12, 2020

Last updated

Apr 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Hope House Corporation

  • Substance Abuse Rehabilitation Facility
  • Anaheim, CA
  • NPI 1578646469
  NPD (past)
• Woodglen Recovery Junction Incorporated

  • Substance Abuse Rehabilitation Facility
  • Fullerton, CA
  • NPI 1437244159
  NPD (past)
• Woodglen West Detox

  • Substance Abuse Rehabilitation Facility
  • Fullerton, CA
  • NPI 1093268849
  NPD (past)

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1730781956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 E LINCOLN AVE UNIT 310",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054255",
            "telephone_number": "657-259-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322806",
            "telephone_number": "714-879-6916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 N Anaheim Blvd",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928052651",
            "country_code": "US",
            "telephone_number": "714-776-7490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUNBAUM",
        "first_name": "CAROL",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "13121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Griffin
• Travis Griffin, SUDCC II
• Thomas Valley Grigsby, BS
• Alyssa Grimaldi
• Yesenia M Grimaldo
• Laura Lucia Guadarrama
• Raul Guadarrama
• Esther Guardado, P.A.C
• Sandhya R Gudapati, M.D.
• Darlin Guerra Diaz

• Addiction (Substance Use Disorder) Counselor in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.