Organization Active NPI

Yuvraj S Grewal MD Inc, a Medical Corporation

  • Specialist
  • Valencia, CA
National Provider Identifier
1962855155
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
143512 Issued in CA
Legal business name
YUVRAJ S GREWAL MD INC, A MEDICAL CORPORATION
Practice address
23861 McBean Pkwy Ste C14
Valencia, CA 91355-2003
Phone
(661) 888-1099
Fax
(661) 888-1270
NPI assigned
Jul 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Yuvraj S Grewal, MDNPI 1073821922
Title
Medical Director
Phone
(661) 288-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 143512 CA Primary

Addresses

Primary practice location

23861 McBean Pkwy Ste C14
Valencia, CA 91355-2003

Mailing address

23861 McBean Pkwy Ste A4
Valencia, CA 91355-2003
Phone (661) 888-1099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161215002367 CA Part B Supplier - Clinic/Group Practice 9537449137 Receives reassigned benefits from 1 practitioner
Practice locations: Valencia, CA

National Provider Directory

National Provider Directory

Locations

23861 McBean Pkwy
Ste A4
Valencia, CA 91355
Phone (661) 288-5700

23861 McBean Pkwy
Ste C14
Valencia, CA 91355
Phone (661) 288-7978

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1962855155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23861 MCBEAN PKWY STE A4",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552003",
            "telephone_number": "661-888-1099",
            "fax_number": "661-888-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23861 MCBEAN PKWY STE C14",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552003",
            "telephone_number": "661-888-1099",
            "fax_number": "661-888-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUVRAJ S GREWAL MD INC, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "YUVRAJ",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "661-288-5700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "143512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.