Organization Active NPI

Lev Grinman MD 4 Professional Corporation

  • Internal Medicine Physician
  • Valencia, CA
National Provider Identifier
1740005479
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LEV GRINMAN MD 4 PROFESSIONAL CORPORATION
Doing business as
Bioprecision Wound Care
Practice address
23929 Valencia Blvd Ste 309
Valencia, CA 91355-5379
Phone
(818) 392-0990
NPI assigned
Nov 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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

Authorized official

Name
Tyler Stout
Title
Operations Manager
Phone
(337) 315-7927

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

23929 Valencia Blvd Ste 309
Valencia, CA 91355-5379

Mailing address

23929 Valencia Blvd Ste 309
Valencia, CA 91355-5379
Phone (818) 392-0990

Other names 1

  • Bioprecision Wound Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251218004401 CA Part B Supplier - Clinic/Group Practice 5193210995 Receives reassigned benefits from 1 practitioner
Practice locations: Valencia, CA

National Provider Directory

National Provider Directory

Locations

1590 Rosecrans Ave
Ste D924
Manhattan Beach, CA 90266

23929 Valencia Blvd
Ste 309
Valencia, CA 91355
Phone (818) 392-0990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789257600000",
    "number": "1740005479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23929 VALENCIA BLVD STE 309",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555379",
            "telephone_number": "818-392-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23929 VALENCIA BLVD STE 309",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555379",
            "telephone_number": "818-392-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEV GRINMAN MD 4 PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "337-315-7927"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bioprecision Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.