GRAND AVENUE IMAGING (NPI# 1154520989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154520989 |
| Entity Type | Organization |
| Organization Name | GRAND AVENUE IMAGING |
| Practice Address |
1400 S Grand Ave Ste 608 Los Angeles CA 90015-3068 |
| Practice Telephone | 2137465800 |
| Practice Fax Number | 2137465802 |
| Mailing Telephone | 2137465800 |
| Mailing Fax Number | 2137465802 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | MR. GENE EASON (ADMINISTRATOR) |
| Authorized Official Telephone | 2137465800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
FAC 48220 | CA | Ambulatory Health Care Facilities |
| Street Address |
1400 S GRAND AVE STE 608 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90015-3068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1225650955 | Luis Alvarado | Student in an Organized Health Care Education/Training Program | 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 | 2020-05-15 |
| 1386290385 | Amy M Powell | Student in an Organized Health Care Education/Training Program | 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 | 2019-08-15 |
| 1881170199 | Angie Andreina Trias Sanchez | Student in an Organized Health Care Education/Training Program | 936 S Olive St Apt 154, Los Angeles, CA 90015 | 2018-07-19 |
| 1083148753 | Central Neighborhood Health Foundation - Fontana | Clinic/Center | 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 | 2017-04-19 |
| 1255871711 | Ethan Lin | Student in an Organized Health Care Education/Training Program | 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 | 2017-03-03 |
| 1972055093 | Yvonne Perez | Social Worker | 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 | 2016-10-25 |
| 1356896492 | Mayano Ochi | Midwife | 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 | 2016-08-18 |
| 1518321686 | Cielo Reyna-donaldson | Registered Nurse | 1520 South Olive Street, Los Angeles, CA 90015 | 2016-04-05 |
| 1891175774 | Amanecer Community Counseling Service | Community/Behavioral Health | 1500 S Olive St Rm 506, Los Angeles, CA 90015 | 2015-06-04 |
| Find all providers in zip 90015 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
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|---|---|---|---|---|
| 1578809851 | Korean Health, Education, Information and Research Center | Clinic/Center | 3727 W. 6th St, Suite 220, Los Angeles, CA 90020-5108 | 2012-12-14 |
| 1780808097 | Val P Shulman | Clinic/Center | 7559 Santa Monica Blvd # 200, Los Angeles, CA 90046-6406 | 2007-04-11 |
| 1053759811 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 2080 Century Park E, 104, Los Angeles, CA 90067-2001 | 2013-06-13 |
| 1083889851 | Wilshire Open Mri | Clinic/Center | 1127 Wilshire Blvd, Suite#1oo, Los Angeles, CA 90017-3901 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1306402474 | Delano Women's Imaging Center | Clinic/Center | 1311 Jefferson St Ste B, Delano, CA 93215-2205 | 2019-05-14 |
| 1881259901 | Breast Center of Irvine Inc | Clinic/Center | 16100 Sand Canyon Ave Ste 100, Irvine, CA 92618-3721 | 2019-05-03 |
| 1104293216 | Centrelake Medical Group, Inc. | Clinic/Center | 10226 Lakewood Blvd, Downey, CA 90241-2742 | 2015-08-24 |
| 1538391255 | B. L. Montgomery M.d., Inc | Clinic/Center | 6833 Abbottswood Dr, Rancho Palos Verdes, CA 90275-3058 | 2009-08-13 |
| 1699946574 | Sacramento Radiology Medical Group, Inc. | Clinic/Center | 3291 Ramos Cir, Sacramento, CA 95827-2516 | 2008-03-18 |
| 1508934605 | Wajih Al-sheikh Md Inc | Clinic/Center | 1311 Jefferson Street, Delano, CA 93215 | 2006-11-30 |
| 1578574273 | Advanced Medical Imaging | Clinic/Center | 6297 N Fresno St, Fresno, CA 93710-5209 | 2006-08-10 |
| 1265466189 | Little Company of Mary Ancillary Services Corporation | Clinic/Center | 5215 Torrance Blvd Ste 110, Torrance, CA 90503-4009 | 2006-07-10 |
| 1578510434 | Center for Advanced Imaging LLC | Clinic/Center | 2375 Montpelier Dr, Suite 10, San Jose, CA 95116-1614 | 2006-05-27 |
| 1306835038 | University Diagnotics, Inc. | Clinic/Center | 27725 Santa Margarita Parkway, Suite 101, Mission Viejo, CA 92691-6706 | 2005-10-15 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90015 |
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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.