Individual provider Active NPI

Phillip Grigsby

  • Diagnostic Radiology Physician
  • Loma Linda, CA
National Provider Identifier
1740716539
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A157441 Issued in CA
Practice address
11370 Havstad Dr
Loma Linda, CA 92354-4149
Phone
(541) 761-9596
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A157441 CA Primary

Addresses

Primary practice location

11370 Havstad Dr
Loma Linda, CA 92354-4149

Mailing address

11370 Havstad Dr
Loma Linda, CA 92354-4149

Other practice location 1

7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 782-3720

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
I20230327001055 CA Practitioner - Diagnostic Radiology 5294109674 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loma Linda University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lambert Radiology Medical Group IncGroup PAC ID 8224032271, 68 clinicians
Faculty Physicians and Surgeons of LlusmGroup PAC ID 1153227814, 1,313 clinicians
Universal Radiology Partners of California PCGroup PAC ID 7214372986, 67 clinicians

Practice addresses (Care Compare)

Seal Beach, CA 90740
Phone (888) 927-8024

11234 Anderson St
Loma Linda, CA 92354-2804

11370 Anderson St
Loma Linda, CA 92354-3450

11500 Brookshire Ave
Downey, CA 90241-4917
Phone (562) 904-5000

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (888) 927-8024

18586 Calera LN
Huntington Beach, CA 92648-6832
Phone (562) 698-0811

26780 Barton Rd
Redlands, CA 92373-4308
Phone (909) 558-5174

28062 Baxter Rd
Murrieta, CA 92563-1401
Phone (909) 558-4000

31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200

Hospital & facility affiliations

  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169
  • Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327
  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471
  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393
  • Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775
  • Presbyterian Intercommunity Inpatient rehabilitation facility, Whittier, CA, CCN 05T169

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157441CAMDDiagnostic Radiology Physician

Practice roles (14 of 16)

OrganizationSpecialtyStatusNew patients
Universal Radiology Partners of California PC Diagnostic Radiology CurrentSince Dec 25, 2023 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Nov 19, 2022 Accepting new patients
Riverside Medical Clinic, Inc Family Medicine CurrentSince Nov 4, 2023 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Lambert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Pih Health Physicians Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Diagnostic Radiology CurrentSince Nov 19, 2022 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology Past Accepting new patients
Loma Linda University Children'S Hospital Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

155 N San Vicente Blvd
#1182
Beverly Hills, CA 90211
Phone (323) 433-7800

11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

25455 Barton Rd
Loma Linda, CA 92354
Phone (909) 558-2808

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

File 54701
Los Angeles, CA 90074
Phone (909) 651-4300

665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

325 Sacramento St
#1112
San Francisco, CA 94111
Phone (408) 356-9013

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

12401 Washington Blvd
#1182
Whittier, CA 90602
Phone (562) 698-0611

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

Networks

  • Freedom Health HMO Network
  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pgrigsby71929@direct.llu.edu

Organizations & group practices 18

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 18

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1740716539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11370 HAVSTAD DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 HAVSTAD DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544149",
            "telephone_number": "541-761-9596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7117 Brockton Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062658",
            "country_code": "US",
            "telephone_number": "951-782-3720",
            "fax_number": "951-784-3274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIGSBY",
        "first_name": "PHILLIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A157441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.