Jeffrey Nathan Grant,M.D. a Medical Corp

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A24260 Issued in CA

Legal business name

JEFFREY NATHAN GRANT,M.D. A MEDICAL CORP

Practice address

8733 Beverly Blvd
West Hollywood, CA 90048-1827

Phone

(310) 659-4511

Fax

(310) 659-1520

NPI assigned

May 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Jnathan Grant, M.D.

Title

President

Phone

(310) 659-4511

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Nathan Grant, MD

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1346304870
  Medicare reassignment NPD

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1851684336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481827",
            "telephone_number": "310-659-4511",
            "fax_number": "310-659-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481827",
            "telephone_number": "310-659-4511",
            "fax_number": "310-659-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY NATHAN GRANT,M.D. A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JNATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-659-4511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A24260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afshin Sean Javaherian, D.P.M
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• JDF Medical Ca PC
• Nicole Jean
• Brian Jeffords, M.D.
• Jeffrey R. Yates Inc.
• Jennifer Adderly, LMFT
• Caren Jensen, LMFT
• William Jeon
• Katlyn Jerkins

• Medical Specialty Clinic/Center in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.