Elissa Gropen MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

G69545 Issued in CA

Legal business name

ELISSA GROPEN MD

Practice address

4954 Arlington Ave
Ste a
Riverside, CA 92504-2746

Phone

(951) 684-8397

Fax

(951) 684-2252

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Elissa Gropen, M.D.

Title

Owner

Phone

(951) 684-8397

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1790978310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 ARLINGTON AVE",
            "address_2": "STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042746",
            "telephone_number": "951-684-8397",
            "fax_number": "951-684-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 ARLINGTON AVE",
            "address_2": "STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042746",
            "telephone_number": "951-684-8397",
            "fax_number": "951-684-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISSA GROPEN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "GROPEN",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-684-8397",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G69545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Riverside, CA
• Providers in Riverside, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.