Individual provider Active NPI

Sanjeev Grewal, M.D.

  • Ophthalmology Physician
  • Palm Springs, CA
National Provider Identifier
1972573103
Registry record updated Feb 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C136854 Issued in CA
Practice address
1801 E Tahquitz Canyon Way
Suite 200
Palm Springs, CA 92262-7120
Phone
(800) 898-2020
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C136854 CA Primary

Addresses

Primary practice location

1801 E Tahquitz Canyon Way
Suite 200
Palm Springs, CA 92262-7120

Mailing address

1801 E Tahquitz Canyon Way
Suite 200
Palm Springs, CA 92262-7120
Phone (800) 898-2020

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170223001907 CA Practitioner - Ophthalmology 0840483046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 E California Blvd
Pasadena, CA 91105-3205
Phone (800) 898-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C136854CAMDOphthalmology Physician
20933SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of California Medical Group, a California Medical Par Ophthalmology CurrentSince Jan 1, 2017 Accepting new patients
Trilogy Eye Medical Group Inc Ophthalmology CurrentSince Jan 1, 2017 Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
University Specialty Clinics - Ophthalmology Ophthalmology Past Accepting new patients
Barry a. Katzman, M.D., Inc Apc Past Accepting new patients
Renaissance ASC, LLC Past Accepting new patients

Locations

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

81893 Doctor Carreon Blvd
Ste 2
Indio, CA 92201
Phone (760) 342-9991

47474 Washington St
La Quinta, CA 92253
Phone (760) 469-5213

44139 Monterey Ave
Ste A
Palm Desert, CA 92260
Phone (760) 469-5195

73271 Fred Waring Dr
Ste 101
Palm Desert, CA 92260
Phone (213) 234-1000

44139 Monterey Ave
Palm Desert, CA 92260
Phone (760) 469-5195

1801 E Tahquitz Canyon Way
Ste 200
Palm Springs, CA 92262
Phone (760) 327-2700

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

207 S Santa Anita St
Ste P25
San Gabriel, CA 91776
Phone (626) 200-1277

58471 29 Palms Hwy
Ste 203
Yucca Valley, CA 92284
Phone (760) 365-7651

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486771200000",
    "number": "1972573103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E TAHQUITZ CANYON WAY",
            "address_2": "SUITE 200",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627120",
            "telephone_number": "800-898-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E TAHQUITZ CANYON WAY",
            "address_2": "SUITE 200",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627120",
            "telephone_number": "800-898-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "SANJEEV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2017-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C136854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.