Yolanda T Grady, M.D. Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

YOLANDA T GRADY, M.D. INC

Practice address

13768 Roswell Ave
Suite 202
Chino, CA 91710-1401

Phone

(909) 628-4205

Fax

(909) 628-4875

NPI assigned

Oct 4, 2006

Last updated

May 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yolanda Grady, M.D.NPI 1235135518

Title

President

Phone

(909) 628-4205

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yolanda T Grady, M.D.

  • Family Medicine Physician
  • Chino, CA
  • NPI 1235135518
  Medicare reassignment Care Compare group NPD Authorized official
• Mercy Rose Mulder I, PA-C

  • Physician Assistant
  • Chino, CA
  • NPI 1164432035
  Medicare reassignment Care Compare group
• Lori Jeanne Robertson, MSN, FNP-C

  • Family Nurse Practitioner
  • Chino Hills, CA
  • NPI 1275539934
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1952497513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "SUITE 202",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "909-628-4205",
            "fax_number": "909-628-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "SUITE 202",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "909-628-4205",
            "fax_number": "909-628-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOLANDA T GRADY, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-628-4205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "ZZZ31642Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P00418455",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A536730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olave S Yee, OD
• Yenm Psychological Corporation
• Valerie Noilani Yepez
• Brian Yi, D.P.M.
• James Jean Yi, D.C.
• Richard Yong
• Doris Young
• Jeneba Sylvia Young
• Lewis Young Jr.
• Malessa Youssef

• Family Medicine Physician in Chino, CA
• Providers in Chino, 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 May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.