I Grant Orlin, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G22065 Issued in CA

Practice address

21707 Hawthorne Blvd
Performance Health Medical Group Ste 101
Torrance, CA 90503-7010

Phone

(310) 540-9699

Fax

(310) 540-9433

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932251428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3591 EMANUEL DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081133",
            "telephone_number": "949-378-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21707 HAWTHORNE BLVD",
            "address_2": "PERFORMANCE HEALTH MEDICAL GROUP STE 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905037010",
            "telephone_number": "310-540-9699",
            "fax_number": "310-540-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLIN",
        "first_name": "I",
        "middle_name": "GRANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G22065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QME",
            "identifier": "909482",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anika Ordonez
• Glenda Ordonez, M.A.
• Megan Orejana
• Andrea Arielle Orellana, BCAT
• Alison Yutako Yaeko Oriba
• Anessa Ornelas
• Denise Ornelas, MD
• Diana Orozco
• Elena Lopez Orozco
• Florisela Orozco

• General Practice Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.