Individual provider Active NPI

George Miller Grames, M.D.

  • Nephrology Physician
  • Fontana, CA
National Provider Identifier
1770693087
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G92880 Issued in CA
Practice address
16655 Foothill Blvd
Fontana, CA 92335-8416
Phone
(909) 356-9664
Fax
(909) 356-9687
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G92880 CA Primary

Addresses

Primary practice location

16655 Foothill Blvd
Fontana, CA 92335-8416

Mailing address

299 W Foothill Blvd
Ste 212
Upland, CA 91786-3804
Phone (909) 949-8866

Other identifiers 1

IdentifierTypeStateIssuer
000G92880MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G92880CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald S Friedman M D Inc Nephrology PastSince Jan 26, 2011 Accepting new patients
Inland Nephrology Medical Associates Inc Nephrology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1770693087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 W FOOTHILL BLVD",
            "address_2": "STE 212",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863804",
            "telephone_number": "909-949-8866",
            "fax_number": "909-385-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16655 FOOTHILL BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358416",
            "telephone_number": "909-356-9664",
            "fax_number": "909-356-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMES",
        "first_name": "GEORGE",
        "middle_name": "MILLER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G92880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G92880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.