Prabhjot Kaur Grewal, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A89940 Issued in CA

Practice address

6848 Magnolia Ave Ste 125
Riverside, CA 92506-2899

Phone

(951) 289-9512

Fax

(951) 394-8438

NPI assigned

Jul 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Vascular SurgeryAlso: General Surgery

Education

University of Utah School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empire Vein and Vascular SpecialistsGroup PAC ID 1951732759, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Empire Vein & Vascular Specialists

  dba Empire Vein Specialists

  • Vascular Surgery Physician
  • Rancho Mirage, CA
  • NPI 1821415142
  Medicare reassignment Care Compare group NPD
• Aristamd

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1235671660
  Medicare reassignment NPD
• Wilshire Cardiology Group, a Professional Corporation

  dba Wilshire Cardiology Group, Inc.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
  • NPI 1366759904
  Medicare reassignment NPD
• Beach Foot and Ankle Center Inc

  • Foot & Ankle Surgery Podiatrist
  • Buena Park, CA
  • NPI 1477010858
  NPD (past)
• Riverside Healthcare System, L.P.

  dba Riverside Community Hospital

  • Rehabilitation Hospital Unit
  • Riverside, CA
  • NPI 1053358010
  NPD (past)

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1770748030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71780 SAN JACINTO DR BLDG I",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705516",
            "telephone_number": "760-568-3461",
            "fax_number": "760-423-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6848 MAGNOLIA AVE STE 125",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062899",
            "telephone_number": "951-289-9512",
            "fax_number": "951-394-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "PRABHJOT",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A89940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venniesa Greer
• Gregory S Wohl Family Counseling LLC
• Jaclyn M Grentzer, MD, MSCI
• Ashley Diane Grether, BA SPLA
• Paul Grewal, DDS
• Ravneet Kaur Grewal
• Grey Space Therapy, LCSW Professional Corporation
• Greystone Behavioral Health Nursing Inc
• Lisa Gribble, RDN
• Michael Gribble, MD

• Vascular Surgery Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.