MARY L. GREBENC


Address: 7777 Alvarado Rd, Suite 108, La Mesa, CA 91941-3616
Phone: 6194602770

MARY L. GREBENC (NPI# 1699727347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699727347
Entity Type Individual
Full Name MARY L. GREBENC
Credential M.D.
Practice Address 7777 Alvarado Rd
Suite 108
La Mesa
CA 91941-3616
Mailing Address 5655 Hudson Dr Ste 210
Aris Radiology
Hudson
OH 44236-4455
Practice Telephone 6194602770
Practice Fax Number 6194602774
Mailing Telephone 3306551869
Mailing Fax Number 3306553828
Enumeration Date 2006-05-17
Last Update Date 2016-11-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
G87233 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA BLUE SHIELD PIN 00G872330 01
CA 00G872330 05

Office Location

Street Address 7777 ALVARADO RD
SUITE 108
City LA MESA
State CA
Zip Code 91941-3616

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740232776 X-ray Medical Group, Inc Radiology 7777 Alvarado Rd, Suite 108, La Mesa, CA 91941-3616 2006-05-17
1659787018 West Coast Audiology Audiologist-Hearing Aid Fitter 7777 Alvarado Rd, Ste 714, La Mesa, CA 91942-8216 2014-07-07
1356782403 Marcial Felan, Mft A Psychology Corp. Marriage & Family Therapist 7777 Alvarado Rd, Suite #255, La Mesa, CA 91942-8216 2013-07-17
1497030365 Jeffery Charles Stratton Social Worker 7777 Alvarado Rd, Suite 269, La Mesa, CA 91942-8216 2011-10-11
1619145232 Peter M. Baratta Social Worker 7777 Alvarado Rd, Suite 265, La Mesa, CA 91942-8216 2008-02-16
1386821171 Michael Todd Naumann Radiology 7777 Alvarado Rd, Suite 108, La Mesa, CA 91942-8216 2008-01-24
1538377536 Alec Graham Audiologist 7777 Alvarado Rd, Suite 408-a, La Mesa, CA 91941-3616 2007-05-21
1558587469 David S. Hornbrook Dentist 7777 Alvarado Rd, Suite 210, La Mesa, CA 91942-8216 2007-04-18
1508992702 Sheldon Z Kramer Psychologist 7777 Alvarado Rd, Ste 282, La Mesa, CA 91941-3616 2007-02-24
1730190414 Pam E Luschei Marriage & Family Therapist 7777 Alvarado Rd, Suite 273, La Mesa, CA 91941-3616 2006-08-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659914588 Aja Encinas Midwife 9461 Grossmont Summit Drive Suite A, La Mesa, CA 91941 2019-10-23
1750889861 Kasey Higgins Nurse Practitioner 10862 Calle Verde # S93, La Mesa, CA 91941 2018-01-24
1801325238 Edward Rabinovich, Dds, Inc. Dentist 3855 Avocado Blvd., Ste. 250, La Mesa, CA 91941 2017-06-08
1003204140 Cierra Lancaster Case Manager/Care Coordinator 4287 Palm Ave #32, La Mesa, CA 91941 2014-12-23
1710388533 Affordable In Home Care Home Health 7953 Lemon Circle, La Mesa, CA 91941 2014-09-11
1902206063 Rachel Llanes Marriage & Family Therapist 4849 Schuyler Avenue, La Mesa, CA 91941 2014-08-26
1497185540 Benjamin J Mandel Dentist 3835 Avocado Blvd #220, Lamesa, CA 91941 2013-11-26
1487084901 Accuquest Hearing Centers Clinic/Center 5105 Garfield Street, La Mesa, CA 91941 2013-11-19
1447551353 John Chuol Kuek Marriage & Family Therapist 4060 Fairmount Avenue, San Diego, CA 91941 2010-11-09
1588808463 Aesthetic Arts Institute of Plastic Surgery, LLC Clinic/Center 8415 Grant Avenue, La Mesa, CA 91941 2009-04-23
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760630669 Jon Gabriel Ellison Radiology 7777 Alvarado Rd Ste 108, La Mesa, CA 91942-8245 2008-09-04
1659326460 Weiling Chang Radiology 8881 Fletcher Parkway #102, La Mesa, CA 91942 2006-05-23
1982657441 William A. Renert Radiology 7777 Alvarado Road, Suite 108, La Mesa, CA 91941-3645 2006-05-18
1528011020 Alexander S Urioste Radiology 8881 Fletcher Parkway, #102, La Mesa, CA 91942 2006-05-18
1740232776 X-ray Medical Group, Inc Radiology 7777 Alvarado Rd, Suite 108, La Mesa, CA 91941-3616 2006-05-17
1346684156 Scott Carey Honowitz Radiology 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2013-04-23
1538502331 Alex Wang Sun Radiology 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2013-04-10
1720303191 Valentin A. Lance Radiology 5555 Grossmont Center Dr, Radiology Department, La Mesa, CA 91942-3019 2010-03-29
1952514978 Jenna I Liu Radiology 8881 Fletcher Parkway, #102, La Mesa, CA 91942 2007-05-07
1285673699 Tuan Xuan Ha Radiology 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2006-06-05
Find all providers in LA MESA

Competitor

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City LA MESA
Zip Code 91941

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Dataset Information

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.

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