Gary W Grubb, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G43124 Issued in CA

Practice address

1672 W Avenue J
Suite 105
Lancaster, CA 93534-2827

Phone

(661) 945-0821

Fax

(661) 948-6255

NPI assigned

Jun 29, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1881891067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 W AVENUE J",
            "address_2": "SUITE 105",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342827",
            "telephone_number": "661-945-0821",
            "fax_number": "661-948-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 W AVENUE J",
            "address_2": "SUITE 105",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342827",
            "telephone_number": "661-945-0821",
            "fax_number": "661-948-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBB",
        "first_name": "GARY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G43124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Colunga Grim, LMFT
• Destinie T Grimes, MSA
• Kelly Marie Grossman, PHARMD
• Grounding Point, Inc
• Aharon Jacob Groveman, AGACNP
• Christina Grundgeiger, RN
• Claudia S Guardado
• Monica Guardado I
• Stephanie Guardado
• Sonia Patricia Guel

• Family Medicine Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.