Active NPI
Phillip Grigsby
- Diagnostic Radiology Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A157441
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncFaculty Physicians and Surgeons of LlusmUniversal Radiology Partners of California PC
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
- Loma Linda University Medical Center
- Pih Health Good Samaritan Hospital
- Pih Health Downey Hospital
- Temecula Valley Hospital
- Presbyterian Intercommunity
Procedures performed for Medicare patients
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| A157441 | CA | MD | Diagnostic Radiology Physician |
Practice roles (14 of 16)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Radiology Partners of California PC | Diagnostic Radiology | Current | Accepting new patients |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Family Medicine | Current | Accepting new patients |
| Riverside Medical Clinic, Inc | Family Medicine | Current | Accepting new patients |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Lambert Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Pih Health Physicians | Family Medicine | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Diagnostic Radiology | Current | 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
- 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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
CA
-
- Diagnostic Radiology Physician
- Whittier, CA
- NPI 1609826684
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Temecula, CA
- NPI 1467225235
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Mountain View, CA
- NPI 1104321959
CA, Diagnostic Radiology
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
Family Medicine
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
- Orthopaedic Surgery Physician
- Colton, CA
- NPI 1669016499
-
- Ophthalmology Physician
- San Bernardino, CA
- NPI 1962452714
-
- Transplant Surgery Physician
- Las Vegas, NV
- NPI 1124560214
-
- Body Imaging Physician
- Rialto, CA
- NPI 1700495363
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Redlands, CA
- NPI 1164053286
Diagnostic Radiology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
Hospital
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
Hospital
-
- Rehabilitation Hospital Unit
- Whittier, CA
- NPI 1972508893
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.