NPIMap

Organization Active NPI

Lev Grinman MD 6 Professional Corporation

  • Family Nurse Practitioner
  • Pasadena, CA
National Provider Identifier
1780495382
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LEV GRINMAN MD 6 PROFESSIONAL CORPORATION
Practice address
595 E Colorado Blvd Ste 611
Pasadena, CA 91101-2015
Phone
(626) 347-8548
NPI assigned
Jan 14, 2025
Last updated
Mar 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Lev Grinman, MDNPI 1457511743
Title
President
Phone
(646) 673-1660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

595 E Colorado Blvd Ste 611
Pasadena, CA 91101-2015

Mailing address

329 S Oyster Bay Rd # 2059
Plainview, NY 11803-3301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250306001879 CA Part B Supplier - Clinic/Group Practice 0941721930 Receives reassigned benefits from 16 practitioners
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

595 E Colorado Blvd
Ste 611
Pasadena, CA 91101
Phone (626) 347-8548

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1780495382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S OYSTER BAY RD # 2059",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 611",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012015",
            "telephone_number": "626-347-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEV GRINMAN MD 6 PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "GRINMAN",
        "authorized_official_first_name": "LEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-673-1660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.