Individual provider Active NPI

Daniel Esteban Grosz, MD

  • Psychiatry Physician
  • Encino, CA
National Provider Identifier
1831200591
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A49772 Issued in CA
Practice address
16661 Ventura Blvd
Suite 603
Encino, CA 91436
Phone
(818) 386-0500
Fax
(818) 386-2019
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A49772 CA
Psychiatry Physician 2084P0800X A49772 CA Primary

Addresses

Primary practice location

16661 Ventura Blvd
Suite 603
Encino, CA 91436

Mailing address

16661 Ventura Blvd
Suite 603
Encino, CA 91436
Phone (818) 386-0500

Other names 1

  • Daniel E Grosz Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091229000260 CA Practitioner - Psychiatry 5890835607 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49772CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penny Lane Centers Current Accepting new patients
Penny Lane Centers CurrentSince Sep 1, 2014 Accepting new patients
Penny Lane Centers CurrentSince Sep 1, 2014 Accepting new patients

Locations

15305 Rayen St
North Hills, CA 91343
Phone (818) 894-3384

10526 Dubnoff Way
North Hollywood, CA 91606
Phone (818) 755-4950

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1831200591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "SUITE 603",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-386-0500",
            "fax_number": "818-386-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "SUITE 603",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-386-0500",
            "fax_number": "818-386-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSZ",
        "first_name": "DANIEL",
        "middle_name": "ESTEBAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A49772",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A49772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "GROSZ",
            "middle_name": "E",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.