Grover Gastro Surgical Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A52860 Issued in CA

Legal business name

GROVER GASTRO SURGICAL CORPORATION

Practice address

16018 Tuscola Rd
Apple Valley, CA 92307-1329

Phone

(760) 242-0375

NPI assigned

Oct 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Rakesh Grover, MDNPI 1790836153

Title

President

Phone

(760) 242-0375

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Rakesh K Grover, MD

  • Surgery Physician
  • Apple Valley, CA
  • NPI 1790836153
  Medicare reassignment Care Compare group NPD Authorized official
• Neera Grover, MD

  • Gastroenterology Physician
  • Apple Valley, CA
  • NPI 1023169489
  Medicare reassignment Care Compare group
• Moothedath A Menon, M.D.

  • Gastroenterology Physician
  • Tustin, CA
  • NPI 1336134014
  Medicare reassignment NPD

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1740566124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16018 TUSCOLA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071329",
            "telephone_number": "760-242-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16018 TUSCOLA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071329",
            "telephone_number": "760-242-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVER GASTRO SURGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-242-0375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A53155",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A52860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnisha Michelle Griffin
• Valerie Enriquez Griffis
• Tyree Griffith, APCC
• Artur Grigoriyan, MD
• Matty Grounds
• Neera Grover, MD
• Rakesh K Grover, MD
• Amal Kumar Guha, MD
• Guided Transitions Marriage and Family Counseling
• Guided Transitions Mediation and Family Counseling Inc

• Surgery Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.