WAYNE WILLIAM GRODY (NPI# 1235165796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235165796 |
| Entity Type | Individual |
| Full Name | WAYNE WILLIAM GRODY |
| Credential | MD |
| Practice Address |
10833 Le Conte Ave Los Angeles CA 90095-3075 |
| Mailing Address |
5767 W Century Blvd Suite 200 Los Angeles CA 90045-5632 |
| Practice Telephone | 3107948285 |
| Mailing Telephone | 3103018707 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2018-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
C40899 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0007X |
Pathology Specialization: Molecular Genetic Pathology |
C40899 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
C40899 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C408990 | 05 |
| Street Address |
10833 LE CONTE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761942 | Dennis Goldfinger | Specialist | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2005-06-21 |
| 1972129427 | Matthew Joseph Heinz | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-06-21 |
| 1255955803 | Airton D Soares | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-05-29 |
| 1073137626 | Gonzalo Nicolas Olaverria Salavaggione | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-05-29 |
| 1780204990 | Maira Hinojosa | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-17 |
| 1053930537 | Jeong Min Kim | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-14 |
| 1972122778 | Mojan Mirnia | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-11 |
| 1902435779 | Kaitlin Elizabeth Fusco | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-03 |
| 1487283313 | Jonathan Douglas Gatto | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-02 |
| 1578191839 | Abhishek Venkataramana | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-1430 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 207ZP0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Molecular Genetic Pathology |
| A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate for MGG was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699294074 | Robert Eric Bookstein | Pathology | 8700 Beverly Blvd., Los Angeles, CA 90048 | 2017-09-17 |
| 1255779278 | Beatrice S. Knudsen | Pathology | 116 N Robertson Blvd, Suite 500, Los Angeles, CA 90048-3103 | 2013-06-12 |
| 1306075379 | Matthew Charles Hiemenz | Pathology | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2009-07-10 |
| 1801004403 | Maria Del Carmen Frias-kletecka | Pathology | 11301 Wilshire Blvd, Bldg 500 Rm 1255, Los Angeles, CA 90073-1003 | 2007-05-18 |
| 1427085034 | Richard Anthony Gatti | Pathology | 10833 Le Conte Ave, Chs B-186, Los Angeles, CA 90095-3075 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658848 | Breakthrough Genomics | Pathology | 25 Mauchly Ste 313, Irvine, CA 92618-2361 | 2020-10-26 |
| 1881200079 | Coral Genomics, Inc. | Pathology | 953 Indiana St, San Francisco, CA 94107-3007 | 2020-09-22 |
| 1447864111 | Stuart A Scott | Pathology | 3375 Hillview Ave Rm 1810, Palo Alto, CA 94304-1204 | 2020-09-01 |
| 1235572819 | Saed Rahmat Sadeghi | Pathology | 13447 Spectrum, Irvine, CA 92618-3427 | 2013-04-12 |
| 1851641641 | Clarient Diagnostic Services, Inc. | Pathology | 21031 Ventura Boulevard, Suite 700, Woodland Hills, CA 91364-2239 | 2012-09-19 |
| 1720162167 | Su Sin Chen | Pathology | 3017 Telegraph Ave Ste 100, Berkeley, CA 94705-2049 | 2006-10-24 |
| 1043796188 | Erik William Nohr | Pathology | 300 Pasteur Drive, Room L235, Mc:5324, Stanford, CA 94305 | 2018-07-12 |
| 1023549185 | Bing Zhang | Pathology | 300 Pasteur Dr, Lane 235, Stanford, CA 94305-2200 | 2017-03-21 |
| 1740686062 | Suzanne Kaye Coberly | Pathology | 1120 Veterans Blvd, 1120 Veterans Blvd, South San Francisco, CA 94080-1985 | 2014-11-13 |
| 1629407481 | Nilesh Dharajiya | Pathology | 3595 John Hopkins Ct, San Diego, CA 92121-1121 | 2013-11-02 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on WAYNE WILLIAM GRODY.
| 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.