Grandmothers Village Apc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

GRANDMOTHERS VILLAGE APC

Practice address

8469 La Mesa Blvd
La Mesa, CA 91942-5335

Phone

(619) 466-8773

NPI assigned

Jul 27, 2018

Organization subpart

No

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

Authorized official

Name

Daniel Sanderson II

Title

Administrator

Phone

(619) 466-8773

Specialties & licenses 1

Addresses

Other names 1

• Kensington Nurses Registry Doing business as

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1760969141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8469 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8469 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425335",
            "telephone_number": "619-466-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDMOTHERS VILLAGE APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-466-8773",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kensington Nurses Registry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory James Goulding, CMT
• Christopher Goyne, MD
• William B. Graff, LMFT
• Alec Graham, M.S.
• Steven Eduardo Granados
• Jason Graney, DC
• Melinda Ann Grant, B.S.R.T. (T)
• Jeffrey Clyde Gray, D.D.S.
• Leslie J. Gray, M.D.
• Delaney Ann Grazier

• Nursing Care Agency in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.