Individual provider Active NPI

Rahul Grover, M.D.

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1851356596
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C52335 Issued in CA
Practice address
8673 W Pico Blvd
Los Angeles, CA 90035-2377
Phone
(310) 652-3981
Fax
(310) 652-3155
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C52335 CA Primary

Addresses

Primary practice location

8673 W Pico Blvd
Los Angeles, CA 90035-2377

Mailing address

2763 Woodwardia Dr
Los Angeles, CA 90077-2120
Phone (310) 652-3981

Other practice location 1

8733 Beverly Blvd
200
West Hollywood, CA 90048-1827
Phone (310) 652-3981

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C52335CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rahul Grover Inc Pediatrics Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1851356596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2763 WOODWARDIA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900772120",
            "telephone_number": "310-652-3981",
            "fax_number": "310-652-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8673 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352377",
            "telephone_number": "310-652-3981",
            "fax_number": "310-652-3155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8733 Beverly Blvd",
            "address_2": "200",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481827",
            "country_code": "US",
            "telephone_number": "310-652-3981",
            "fax_number": "310-652-3155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVER",
        "first_name": "RAHUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C52335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.