Active NPI
Lev Grinman MD 4 Professional Corporation
- Internal Medicine Physician
- Valencia, CA
National Provider Identifier
1740005479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Family Nurse Practitioner | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Far Rockaway, NY
- NPI 1700199213
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.