Organization Active NPI

Raymond D. Gritton, M.D., Inc.

  • Physical Medicine & Rehabilitation Physician
  • Arcadia, CA
National Provider Identifier
1770601429
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G76722 Issued in CA
Legal business name
RAYMOND D. GRITTON, M.D., INC.
Practice address
289 W Huntington Dr Ste 201
Arcadia, CA 91007-3490
Phone
(626) 304-9060
Fax
(626) 304-9010
NPI assigned
Mar 27, 2007
Last updated
Apr 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Mrs. Liva Yates GrittonNPI 1528184033
Title
Secretary
Phone
(626) 304-9060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X G76722 CA Primary

Addresses

Primary practice location

289 W Huntington Dr Ste 201
Arcadia, CA 91007-3490

Mailing address

PO Box 80998
San Marino, CA 91118-8998
Phone (626) 304-9060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120530000126 CA Part B Supplier - Clinic/Group Practice 6002079167 Receives reassigned benefits from 1 practitioner
Practice locations: Arcadia, CA; Los Angeles, CA; Pasadena, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1770601429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80998",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911188998",
            "telephone_number": "626-304-9060",
            "fax_number": "626-304-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 W HUNTINGTON DR STE 201",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073490",
            "telephone_number": "626-304-9060",
            "fax_number": "626-304-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND D. GRITTON, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "GRITTON",
        "authorized_official_first_name": "LIVA",
        "authorized_official_middle_name": "YATES",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "626-304-9060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G76722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.