JEFFREY NATHAN GRANT,M.D. A MEDICAL CORP (NPI# 1851684336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851684336 |
| Entity Type | Organization |
| Organization Name | JEFFREY NATHAN GRANT,M.D. A MEDICAL CORP |
| Practice Address |
8733 Beverly Blvd West Hollywood CA 90048-1827 |
| Practice Telephone | 3106594511 |
| Practice Fax Number | 3106591520 |
| Mailing Telephone | 3106594511 |
| Mailing Fax Number | 3106591520 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |
| Authorized Official Name | DR. JEFFREY JNATHAN GRANT (PRESIDENT) |
| Authorized Official Telephone | 3106594511 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
A24260 | CA | Ambulatory Health Care Facilities |
| Street Address |
8733 BEVERLY BLVD |
| City | WEST HOLLYWOOD |
| State | CA |
| Zip Code | 90048-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114901014 | Tirak Tom Shafa | Pharmacy | 8733 Beverly Blvd, Ste 100, West Hollywood, CA 90048-1890 | 2005-12-04 |
| 1326414756 | Denise Marie Moore | Nurse Practitioner | 8733 Beverly Blvd, Suite 408, West Hollywood, CA 90048-1827 | 2015-08-20 |
| 1114356789 | Joanna Josue | Nurse Practitioner | 8733 Beverly Blvd, Suite 408, West Hollywood, CA 90048-1827 | 2013-11-05 |
| 1740617174 | Lisa R Hughes | Nurse Practitioner | 8733 Beverly Blvd, Suite 200, West Hollywood, CA 90048-1827 | 2013-09-30 |
| 1649615881 | Annahita Pourmand | Internal Medicine | 8733 Beverly Blvd, Suite 408, West Hollywood, CA 90048-1827 | 2013-05-01 |
| 1790033116 | Andrew E. Hendifar,m.d. A Medical Corporation | Internal Medicine | 8733 Beverly Blvd, Suite 408, West Hollywood, CA 90048-1827 | 2012-08-15 |
| 1619224557 | Jane Y Kauffman, Md, PC | Specialist | 8733 Beverly Blvd, Suite 312, West Hollywood, CA 90048-1827 | 2012-08-09 |
| 1275807968 | Jerome Lipin | Pediatrics | 8733 Beverly Blvd, Suite 200, West Hollywood, CA 90048-1827 | 2012-02-28 |
| 1346510245 | Neufeld Medical Group | Pediatrics | 8733 Beverly Blvd, Suite 202, West Hollywood, CA 90048-1827 | 2012-01-09 |
| 1770872558 | Perry Alan Meier | Radiologic Technologist | 8733 Beverly Blvd, Suite 306, West Hollywood, CA 90048-1843 | 2011-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
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| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1780217489 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 621 W Line St Ste 105, Bishop, CA 93514-3320 | 2020-02-20 |
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| City | WEST HOLLYWOOD |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on JEFFREY NATHAN GRANT,M.D. A MEDICAL CORP.
| 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.