DR. MICHAEL GROSSMAN (NPI# 1790713519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790713519 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL GROSSMAN |
| Credential | M.D. |
| Practice Address |
414 E San Bernardino Rd Covina CA 91723-1704 |
| Mailing Address |
Box 5010 Glendora CA 91740-0735 |
| Practice Telephone | 6269155181 |
| Mailing Telephone | 6269155181 |
| Mailing Fax Number | 6263312313 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A22902 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A229020 | 05 | |
| CA | STATE LICENSE | A22902 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407217540 | Michael Grossman | Chiropractor | 425 Washington St Ste 100, San Francisco, CA 94111-2345 | 2016-03-17 |
| 1215016662 | Michael Samuel Grossman | Ophthalmology | 4505 N Rockwood Dr, Peoria, IL 61615-3803 | 2006-11-06 |
| 1417055286 | Michael Alan Grossman | Dentist | 6246 East Pima Street, Suite 100, Tucson, AZ 85712-3157 | 2006-09-20 |
| 1659488997 | Michael Grossman | Internal Medicine | 550 E Van Buren St, Building 3, Room 3261, Phoenix, AZ 85004-2230 | 2006-08-24 |
| 1225011786 | Michael R. Grossman | Podiatrist | 121 Coulter Ave, Suite 109, Ardmore, PA 19003-2418 | 2005-11-29 |
| 1831188218 | Michael J Grossman | Obstetrics & Gynecology | 565 Turnpike St, Suite 74, North Andover, MA 01845-5922 | 2005-10-18 |
| 1245239102 | Michael Grossman | Emergency Medicine | 4505 20th Ave, Valley, AL 36854-3542 | 2005-07-21 |
| 1467455816 | Michael Paul Grossman | Obstetrics & Gynecology | 38a Old Sparrowbush Road, Latham, NY 12110 | 2005-05-31 |
| 1760810857 | Michael Grossman | Nurse Practitioner | 960 Johnson Ferry Rd, Ste 500, Atlanta, GA 30342-1631 | 2013-10-29 |
| 1942367008 | Michael Jack Grossman | Family Medicine | 24432 Muirlands Blvd, Suite 111, Lake Forest, CA 92630-3939 | 2007-01-01 |
| Street Address |
414 E SAN BERNARDINO RD |
| City | COVINA |
| State | CA |
| Zip Code | 91723-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992797070 | Glendora Radiological Assoc Inc | Radiology | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2005-08-16 |
| 1861016271 | Melody Mckay | Occupational Therapist | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2020-06-01 |
| 1588288211 | Ashley Marie Kahn | Occupational Therapist | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2020-05-28 |
| 1427672153 | Marissa Carrillo | Occupational Therapist | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2020-05-28 |
| 1053968487 | Sanford Therapy Inc | Occupational Therapist | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2019-08-21 |
| 1104106012 | Glendora Radiological Associates Inc | General Acute Care Hospital | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2011-08-23 |
| 1164551776 | Ralph A Olsen | Radiology | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2007-03-02 |
| 1124054606 | Mehroojan Kianian | Radiology | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2006-06-24 |
| 1952373508 | Jae Whan Yoon | Radiology | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2006-02-07 |
| 1568434124 | Ilyas Khan | Radiology | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2006-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550593 | Joshua Mercado | Behavior Technician | 210 N. Citrus Ave., Covina, CA 91723 | 2020-08-26 |
| 1578104790 | Alda Shin Shin | Behavioral Analyst | 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 | 2019-09-30 |
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1336639368 | Counseling Solutions for Children and Families, Psychology Corporation | Community/Behavioral Health | 271 E Workman St Ste 101, Covina, CA 91723 | 2018-05-15 |
| 1669995916 | Helen Wang Le | Optometrist | 554 E San Bernardino Rd Ste 102, Covina, CA 91723 | 2017-07-19 |
| 1992242879 | Donovan Kouthiraj | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723 | 2017-01-30 |
| 1427406339 | Robinson Baron Medical Clinic | Surgery | 274 W Badillo Street, Covina, CA 91723 | 2016-06-01 |
| 1306211123 | Absolute Senior Care Services, Inc | In Home Supportive Care | 599 S Barranca Ave Ste 205, Covina, CA 91723 | 2015-12-04 |
| 1780061135 | Mohan Ckd Clinic | Internal Medicine | 171 W Cottage St, Covina, CA 91723 | 2015-05-05 |
| 1992198915 | Toshihisa Takei | Otolaryngology | 202 West College Street, Covina, CA 91723 | 2015-03-16 |
| Find all providers in zip 91723 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396774022 | Socal Mr Site Management, Inc. | Radiology | 740 E Arrow Hwy, Suite A, Covina, CA 91722-2144 | 2006-07-03 |
| 1992797070 | Glendora Radiological Assoc Inc | Radiology | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2005-08-16 |
| 1295051365 | Centrelake Medical Group Inc | Radiology | 1433 N Hollenbeck Ave, Suite 105, Covina, CA 91722-1558 | 2010-04-14 |
| 1164551776 | Ralph A Olsen | Radiology | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2007-03-02 |
| 1124054606 | Mehroojan Kianian | Radiology | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2006-06-24 |
| 1952373508 | Jae Whan Yoon | Radiology | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2006-02-07 |
| 1568434124 | Ilyas Khan | Radiology | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2006-02-07 |
| 1649242207 | James Le | Radiology | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2006-02-07 |
| 1023080686 | David J Underwood | Radiology | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2006-02-07 |
| 1578535134 | Michael Quinn | Radiology | 414 E San Bernardino Rd, Covina, CA 91723-1704 | 2006-02-07 |
| Find all providers in COVINA | ||||
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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.