Individual provider Active NPI

Stephen P Grifka, M.D.

  • Allergy & Immunology Physician
  • Torrance, CA
National Provider Identifier
1902089006
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G48648 Issued in CA
Practice address
3655 Lomita Blvd
Ste 321
Torrance, CA 90505-1927
Phone
(310) 775-7795
Fax
(310) 818-5551
NPI assigned
Dec 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X G48648 CA Primary

Addresses

Primary practice location

3655 Lomita Blvd
Ste 321
Torrance, CA 90505-1927

Mailing address

703 Pier Ave
Ste 145
Hermosa Beach, CA 90254-3949
Phone (310) 625-5657

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G48648CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Fall Prevention, a Medical Corporation PastSince Mar 15, 2012 Accepting new patients
American Hearing & Balance Centers, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482364800000",
    "number": "1902089006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 PIER AVE",
            "address_2": "STE 145",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543949",
            "telephone_number": "310-625-5657",
            "fax_number": "310-818-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD",
            "address_2": "STE 321",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051927",
            "telephone_number": "310-775-7795",
            "fax_number": "310-818-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFKA",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2016-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G48648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.