Grand Summit LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

GRAND SUMMIT LLC

Practice address

13207 Central Ave NE
Albuquerque, NM 87123-3033

Phone

(505) 595-1607

NPI assigned

Dec 2, 2024

Organization subpart

No

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

Authorized official

Name

Bakhtar EhsanNPI 1518704485

Title

Cfo

Phone

(831) 325-3541

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Grand Summit LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grand Summit LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1750107199
  NPD tax ID

Locations

Practitioners 1

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

• Bakhtar Ehsan

  • Social Worker
  • Albuquerque, NM
  • NPI 1518704485
  NPD Authorized official

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1982420329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 ROBIN AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871124061",
            "telephone_number": "505-274-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13207 CENTRAL AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871233033",
            "telephone_number": "505-595-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND SUMMIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "EHSAN",
        "authorized_official_first_name": "BAKHTAR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "831-325-3541"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomas Refugio Granados, PSY.D.
• Yvette Granados, RDH
• Joseph Granata, PHARM.D.
• Rita Granberry, LMT
• Grand Summit LLC
• Aracely Grande
• Ethan Alexander Grandel, MD
• Naga P Grandhe, MD
• Radhika Prasad Grandhe, MBBS, FRCA, MD
• Alexandria Grandia, ATC, LAT

• Methadone Clinic in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Methadone Clinic in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.