Individual provider Active NPI

Grant Lundie, M.D.

  • Anesthesiology Physician
  • West Hollywood, CA
National Provider Identifier
1770590820
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A85262 Issued in CA
Practice address
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone
(310) 423-5841
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD60058186 WA
Anesthesiology Physician 207L00000X 2017-01866 NC
Anesthesiology Physician 207L00000X R7527 TX
Anesthesiology Physician 207L00000X A85262 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd
West Hollywood, CA 90048-1804

Mailing address

1305 Walt Whitman Rd Ste 300
Melville, NY 11747-4300

Other practice location 1

1901 S Union Ave
Tacoma, WA 98405-1702
Phone (253) 459-6611

Other practice location 2

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000

Other practice location 3

919 E 32nd St
Austin, TX 78705-2703
Phone (512) 476-7111

Other identifiers 1

IdentifierTypeStateIssuer
8543589MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC, SC, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040714001256 CA Practitioner - Anesthesiology 4082693023 Reassigns benefits to 4 organizations
I20171101000111 NC Practitioner - Anesthesiology 4082693023 Reassigns benefits to 2 organizations
I20180305001553 SC Practitioner - Anesthesiology 4082693023 Reassigns benefits to 1 organization
I20190205003037 TX Practitioner - Anesthesiology 4082693023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Anesthesia Medical Group IncGroup PAC ID 6103728407, 185 clinicians

Practice addresses (Care Compare)

1100 W Stewart Dr
Orange, CA 92868-3849
Phone (714) 744-8700

255 E Bonita Ave
Pomona, CA 91767-1923
Phone (909) 596-7733

455 S Main St
Orange, CA 92868-3835
Phone (714) 532-8406

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A85262CAMDAnesthesiology Physician
MD60058186WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Anesthesiology Group PLLC Anesthesiology CurrentSince Oct 17, 2018 Accepting new patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Sep 15, 2017 Accepting new patients
Cedars-Sinai Medical Care Foundation Anesthesiology CurrentSince Aug 4, 2025 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Sep 9, 2017 Accepting new patients
Southeast Anesthesiology Consultants, PLLC Anesthesiology CurrentSince Sep 9, 2017 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 4, 2025 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Sep 1, 2024 Accepting new patients
Bayside Anesthesia Medical Group CurrentSince Jul 1, 2025 Accepting new patients
Austin Anesthesiology Group, PLLC Anesthesiology CurrentSince Oct 17, 2018 Accepting new patients
California Anesthesia Associates Medical Group, Inc. Anesthesiology CurrentSince Jul 1, 2004 Accepting new patients
Providence Wa Anesthesia Services, P.C. Anesthesiology Past Accepting new patients

Locations

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

2880 Atlantic Ave
Ste 160
Long Beach, CA 90806
Phone (562) 453-3814

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

118 Professional Park Dr
Rock Hill, SC 29732
Phone (803) 329-3124

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1770590820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WALT WHITMAN RD STE 300",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-5841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 S Union Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051702",
            "country_code": "US",
            "telephone_number": "253-459-6611",
            "fax_number": "253-269-7125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Blythe Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035812",
            "country_code": "US",
            "telephone_number": "704-355-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787052703",
            "country_code": "US",
            "telephone_number": "512-476-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDIE",
        "first_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD60058186",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2017-01866",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "R7527",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A85262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8543589",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.