DR. WILLIAM GRANT STEVENS (NPI# 1689709008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689709008 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM GRANT STEVENS |
| Other Name | DR. GRANT STEVENS |
| Credential | M.D. |
| Practice Address |
4644 Lincoln Blvd Ste 552 Marina Del Rey CA 90292-6391 |
| Practice Telephone | 3108272653 |
| Practice Fax Number | 3108271493 |
| Mailing Telephone | 3108272653 |
| Mailing Fax Number | 3108271493 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2010-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G45892 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821646050 | William Stevens | Specialist/Technologist | 1701 Ocean Ave Apt 23h, Asbury Park, NJ 07712-5628 | 2019-08-30 |
| 1871714972 | William Aaron Stevens | Counselor | 575 Mckeehans Xing, Corbin, KY 40701-9572 | 2007-05-02 |
| 1427185677 | William V Stevens | Optometrist | 10048 Charlotte Hwy ( Hwy 521 ), Indian Land, SC 29707-8113 | 2007-02-27 |
| 1780723759 | William Lee Stevens | Pharmacist | 6732 Medinah Dr, Fort Worth, TX 76132-4574 | 2007-02-06 |
| 1720132442 | William J Stevens | Pharmacist | Medicine Mart Pharmacy, 1300 Sunset Blvd, West Columbia, SC 29169 | 2007-01-22 |
| 1548340342 | William James Stevens | Massage Therapist | 3611 State Highway 528 Nw, Ste. A, Albuquerque, NM 87114-8917 | 2006-10-16 |
| 1578590253 | William C. Stevens | Emergency Medicine | 4114 Pattentown Rd, Ooltewah, TN 37363-7043 | 2006-06-27 |
| 1356344824 | William Robert Stevens | Orthopaedic Surgery | 3033 N 44th St Ste 100, Phoenix, AZ 85018-7227 | 2005-05-27 |
| 1215553524 | William Burl Stevens II | Dentist | 627 W Main St, Tupelo, MS 38804-3732 | 2020-06-23 |
| 1528694577 | William Smith Stevens IIi | Physical Therapist | 1325 Highway 6, Sugar Land, TX 77478-4906 | 2020-03-20 |
| Street Address |
4644 LINCOLN BLVD STE 552 |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-6391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902318553 | Jonathan Kanevsky | Plastic Surgery | 4644 Lincoln Blvd Ste 552, Marina Del Rey, CA 90292-6391 | 2017-11-03 |
| 1447582366 | Laura K Pietrzak | Physician Assistant | 4644 Lincoln Blvd Ste 552, Marina Del Rey, CA 90292-6391 | 2010-02-02 |
| 1154564656 | Ziyad Shawkat Hammoudeh | Plastic Surgery | 4644 Lincoln Blvd Ste 552, Marina Del Rey, CA 90292 | 2009-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649713561 | Robert Strier | Specialist | 13603 Marina Pointe Dr Apt A601, Marina Del Rey, CA 90292-8573 | 2016-11-25 |
| 1568531945 | Ralph Bloch | Specialist | 4316 Marina City Dr, 931, Marina Del Rey, CA 90292-5832 | 2006-11-07 |
| 1417061714 | Daniel R Marcus | Specialist | 4640 Admiralty Way Ste 1020, Marina Del Rey, CA 90292-6641 | 2006-08-17 |
| 1487689329 | Robert Phlip Waldman | Specialist | 4644 Lincoln Blvd Ste 540, Marina Del Rey, CA 90292-6391 | 2006-07-11 |
| 1588653943 | Prostate Oncology Specialists, Inc. | Specialist | 4676 Admiralty Way, Ste 101, Marina Del Rey, CA 90292-6601 | 2005-10-18 |
| 1225382054 | Oband, Inc | Specialist | 4333 Admiralty Way, Marina Del Rey, CA 90292-5469 | 2012-10-31 |
| 1992942254 | Gary Brazina Md, Inc. | Specialist | 13160 Mindanao Way Ste 300, Marina Del Rey, CA 90292-6393 | 2009-01-08 |
| 1831334010 | Edgar Allan R Musngi, M.d. Inc. | Specialist | 4644 Lincoln Blvd Ste 540, Marina Del Rey, CA 90292-6391 | 2008-12-02 |
| 1932314408 | Watkins Spine, Inc. | Specialist | 4640 Admiralty Way, Suite 600, Marina Del Rey, CA 90292-6621 | 2007-05-10 |
| 1932320256 | Odyssey Medical Group | Specialist | 4832 Lincoln Blvd, Marina Del Rey, CA 90292-6917 | 2007-05-02 |
| Find all providers in MARINA DEL REY | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
Please comment or provide details below to improve the information on DR. WILLIAM GRANT STEVENS.
| 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.