MICHAEL GROSSMAN M.D. – NPI #1790713519
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

MICHAEL GROSSMAN is a radiologist located in COVINA, CA. NPPES has assigned the NPI number 1790713519 to MICHAEL GROSSMAN on June 29, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 18 years ago on Oct 23, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL GROSSMAN below.

NPI Profile for
MICHAEL GROSSMAN

NPI Number
1790713519
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL GROSSMAN
Credentials
M.D.
Primary location
414 E SAN BERNARDINO RD
COVINA, CA 91723-1704
Phone: (626) 915-5181 Fax:
Mailing address
BOX 5010
GLENDORA, CA 91740-0735
Phone: (626) 915-5181 Fax: (626) 331-2313
Sole Proprietor
No
Updated
Identifiers

Identifiers for MICHAEL GROSSMAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSTATE LICENSECAA22902
MEDICAIDCA00A229020
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
CA A22902

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.