Active NPI
Grant Whitfield Meredith, M.D.
- Psychiatry Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A158877
- Practice address
- 6200 Wilshire Blvd Ste 1410
Los Angeles, CA 90048-5815 - Phone
- (925) 282-1778
- NPI assigned
- Apr 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | LLPG177642 | OR | |
| Psychiatry Physician | 2084P0800X | A158877 | CA | Primary |
Addresses
Primary practice location
6200 Wilshire Blvd Ste 1410
Los Angeles, CA 90048-5815
Mailing address
6200 Wilshire Blvd Ste 1410
Los Angeles, CA 90048-5815
Other practice location 1
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 768-4906
Other practice location 2
8950 Villa La Jolla Dr Ste C230
LA Jolla, CA 92037-1712
Phone (925) 282-1778
Other practice location 3
100 Howe Ave Ste 170N
Sacramento, CA 95825-8241
Phone (925) 282-1778
Other practice location 4
701 S Parker St Ste 2800
Orange, CA 92868-4720
Phone (925) 282-1778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Arkansas College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6200 Wilshire Blvd
Suite 1410
Los Angeles, CA 90048-5815
Phone (925) 282-1778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A158877 | CA | MD | Psychiatry Physician |
| LLPG177642 | OR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Humboldt | Current | Accepting new patients | |
| Pacific Coast Psychiatric Associates Inc | Psychiatry | Current | Accepting new patients |
| County of Humboldt | Current | Accepting new patients | |
| County of Humboldt | Current | Accepting new patients |
Locations
720 Wood St
Eureka, CA 95501
Phone (707) 268-2900
2365 Iron Point Rd
Ste 210
Folsom, CA 95630
Phone (925) 360-5264
4040 Barranca Pkwy
Ste 260
Irvine, CA 92604
8950 Villa La Jolla Dr
Ste C230
La Jolla, CA 92037
Phone (206) 906-5385
8881 Fletcher Pkwy
Ste 350
La Mesa, CA 91942
Phone (619) 465-9792
6200 Wilshire Blvd
Ste 1410
Los Angeles, CA 90048
Phone (323) 403-0474
701 S Parker St
Ste 2800
Orange, CA 92868
100 Howe Ave
Ste 170N
Sacramento, CA 95825
Phone (415) 296-5100
490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944
Interoperability endpoints
- lifestancehealth.grantmeredith@148377.advancedmd-direct.com
Organizations & group practices 4
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.
-
- Clinical Psychologist
- Scottsdale, AZ
- NPI 1023125465
CA, Psychiatry
-
- State or Local Public Health Clinic/Center
- Eureka, CA
- NPI 1871676213
-
- Community/Behavioral Health Agency
- Eureka, CA
- NPI 1033300306
-
- Clinical Medical Laboratory
- Eureka, CA
- NPI 1689751687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1952755969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 WILSHIRE BLVD STE 1410",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 WILSHIRE BLVD STE 1410",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485815",
"telephone_number": "925-282-1778"
}
],
"practiceLocations": [
{
"address_1": "3600 NW Samaritan Dr",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973303737",
"country_code": "US",
"telephone_number": "541-768-4906",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8950 Villa La Jolla Dr Ste C230",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371712",
"country_code": "US",
"telephone_number": "925-282-1778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Howe Ave Ste 170N",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958258241",
"country_code": "US",
"telephone_number": "925-282-1778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 S Parker St Ste 2800",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928684720",
"country_code": "US",
"telephone_number": "925-282-1778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEREDITH",
"first_name": "GRANT",
"middle_name": "WHITFIELD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-15",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "LLPG177642",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A158877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.