Paul John Grodan, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G30279 Issued in CA

Practice address

150 N Robertson Blvd
Suite 211
Beverly Hills, CA 90211-2142

Phone

(310) 854-0100

Fax

(310) 659-3297

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

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 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Paul J Grodan M.D. a Professional Corporation

  • Cardiovascular Disease Physician
  • Beverly Hills, CA
  • NPI 1982927174

  O20100323000239

  Same enrollment

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Paul J Grodan M.D. a Professional Corporation

  • Cardiovascular Disease Physician
  • Beverly Hills, CA
  • NPI 1982927174
  Medicare reassignment NPD Authorized official
• RGJ Inc

  • Pharmacy
  • Beverly Hills, CA
  • NPI 1598806259
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1861500662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD",
            "address_2": "SUITE 211",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112142",
            "telephone_number": "310-854-0100",
            "fax_number": "310-659-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N ROBERTSON BLVD",
            "address_2": "SUITE 211",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112142",
            "telephone_number": "310-854-0100",
            "fax_number": "310-659-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODAN",
        "first_name": "PAUL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G30279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G302790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Charles Griffin, MD
• Jonathan Edward Griffin
• Kaelyn Griffin
• Kenneth Charles Griffith, DDS
• Daniel Grindeman, LMFT
• Deborah Groening, LMFT
• Elizabeth Betsy Gross, PHARM.D
• Jill De Jong Gross, MFT
• Gerald Grossman, M.D.
• Sasha Grossman, M.S., CCC-SLP

• Cardiovascular Disease Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.