Organization Active NPI

Daniel E. Grosz MD a Professional Corporation

  • Preferred Provider Organization
  • Encino, CA
National Provider Identifier
1912158312
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
A49772 Issued in CA
Legal business name
DANIEL E. GROSZ MD A PROFESSIONAL CORPORATION
Practice address
16661 Ventura Blvd Ste 603
Encino, CA 91436-4829
Phone
(818) 386-0500
Fax
(818) 386-2019
NPI assigned
Oct 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Daniel E Grosz, MD
Title
President
Phone
(818) 386-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X A49772 CA Primary

Addresses

Primary practice location

16661 Ventura Blvd Ste 603
Encino, CA 91436-4829

Mailing address

16661 Ventura Blvd Ste 603
Encino, CA 91436-4829
Phone (818) 386-0500

National Provider Directory

National Provider Directory

Locations

16661 Ventura Blvd
Ste 603
Encino, CA 91436
Phone (818) 350-3822

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1912158312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 603",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364829",
            "telephone_number": "818-386-0500",
            "fax_number": "818-386-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 603",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364829",
            "telephone_number": "818-386-0500",
            "fax_number": "818-386-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL E. GROSZ MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "GROSZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-386-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "A49772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.