Individual provider Active NPI

Tania Grivas, M.D.

  • Surgery Physician
  • Rolling Hills Estates, CA
National Provider Identifier
1760787444
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A53360 Issued in CA
Practice address
17 Via Sevilla
Rolling Hills Estates, CA 90274-3425
Phone
(310) 293-9994
NPI assigned
Jan 11, 2011
Last updated
May 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A53360 CA Primary

Addresses

Primary practice location

17 Via Sevilla
Rolling Hills Estates, CA 90274-3425

Mailing address

17 Via Sevilla
Rolling Hills Estates, CA 90274-3425
Phone (310) 378-2740

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
I20190411000150 CA Practitioner - Preventive Medicine 2466628300 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53360CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of California, a Medical Corporation Current Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Jan 17, 2025 Accepting new patients
Bay City Surgery Center Inc. PastSince Feb 8, 2011 Accepting new patients
Oncology Institute Medical Group Past Accepting new patients

Locations

1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799

640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772

2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055

740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000

1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360

3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500

21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1760787444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 VIA SEVILLA",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743425",
            "telephone_number": "310-378-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 VIA SEVILLA",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743425",
            "telephone_number": "310-293-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIVAS",
        "first_name": "TANIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-11",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A53360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

Verify at the official NPI Registry.