KENNETH E. GRANT (NPI# 1154414225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154414225 |
| Entity Type | Individual |
| Full Name | KENNETH E. GRANT |
| Credential | M.D. |
| Practice Address |
1201 W La Veta Ave Orange CA 92868-4203 |
| Practice Telephone | 7145094099 |
| Practice Fax Number | 7145094063 |
| Mailing Telephone | 7145094099 |
| Mailing Fax Number | 7145094063 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
G60289 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G165430 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790007722 | Kenneth Mark Grant | Pharmacist | 17577 Maxon Ln, Adams, NY 13605-2127 | 2010-02-18 |
| 1497848741 | Kenneth John Grant | Internal Medicine | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2006-10-01 |
| 1114997095 | Kenneth Fred Grant | Specialist | 1 Science Ct, Suite 200, Columbia, SC 29203-9344 | 2006-01-24 |
| 1093793796 | Kenneth Douglas Grant | Internal Medicine | 874 American Pacific Dr, Henderson, NV 89014-8800 | 2006-01-04 |
| Street Address |
1201 W LA VETA AVE |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552941 | Roberto Limgenco Barretto | Otolaryngology | 1201 W La Veta Ave, Ste. 311, Orange, CA 92868-4213 | 2005-07-18 |
| 1083212054 | Mercy Air Service, Inc. | Ambulance | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-10-13 |
| 1225641418 | Jonathan Chodosh Strok | Nurse Practitioner | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-08-26 |
| 1881206779 | Emma Lind | Nurse Practitioner | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-08-20 |
| 1750993622 | Natalie Michelle Adame | Nurse Practitioner | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-08-20 |
| 1578172946 | Olivia Armour Tiffany | Psychologist | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-07-30 |
| 1376161323 | Tina Halabian | Student in an Organized Health Care Education/Training Program | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-07-07 |
| 1538786041 | Alyssa Marie Ramos-chavez | Psychologist | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-06-30 |
| 1588281265 | Tiffany Thao Vo | Student in an Organized Health Care Education/Training Program | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-06-29 |
| 1801423769 | Jonathan Thorpe | Student in an Organized Health Care Education/Training Program | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316280233 | Children's Hospital of Orange County | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2013-03-28 |
| 1124373683 | Michael Wang | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2012-07-19 |
| 1871891606 | Kimberly Ann Silva | Pediatrics | 505 S Main St, Suite525, Orange, CA 92868-4509 | 2011-03-02 |
| 1386977288 | Gregory Kelii Wong | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2009-09-09 |
| 1023273141 | Ashish Chogle | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868 | 2008-07-29 |
| 1003932963 | Jeffrey H Ho | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2007-03-22 |
| 1467521997 | Bassam S. Younes | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2006-11-07 |
| 1215015888 | Anup J. Patel | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2006-11-01 |
| 1710075502 | Sarah J Sela-herman | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2006-10-10 |
| 1366530107 | Mitchell Haven Katz | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2006-10-10 |
| Find all providers in ORANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.