| NPI | 1063611762 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-07-12 |
| Last Updated | 2024-10-15 |
| Mailing Address | 5767 W Century Blvd, Suite 400 Los Angeles, CA 90045-5631 United States Phone: (310) 301-8707 📍 View Map |
| Primary Practice Address | 200 Ucla Medical Plz Ste 140 Los Angeles, CA 90095-1437 United States Phone: (310) 794-7274 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207VF0040X – Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | CA | A108105 |
| Yes | 207V00000X – Obstetrics & Gynecology | CA | A108105 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1063611762
Tamara Grisales M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063611762. The primary specialty listed is Obstetrics & Gynecology. The provider is located in Los Angeles, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-07-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063611762?
NPI 1063611762 belongs to Tamara Grisales M.D., a Obstetrics & Gynecology in Los Angeles, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063611762 active?
The current status of NPI 1063611762 in the NPPES registry is Active. The record was last updated on 2024-10-15.
What specialty is NPI 1063611762?
NPI 1063611762 is classified under the taxonomy Obstetrics & Gynecology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063611762?
You can verify NPI 1063611762 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063611762?
The primary practice address on file for NPI 1063611762 is 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095-1437. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063611762 issued?
NPI 1063611762 was first issued (enumerated) on 2007-07-12. The NPPES record was last updated on 2024-10-15.
Practice Location Map
Tamara Grisales is located at 200 Ucla Medical Plz Ste 140, Los Angeles, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Tamara Grisales. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063611762. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | A108105 | CA |
| Obstetrics & Gynecology | A108105 | CA |