ELIJAH J GRANT
NPI 1710845508
Student in an Organized Health Care Education/Training Program in South Pasadena, CA

Active since January 12, 2026
205 PASADENA AVE, SOUTH PASADENA, CA 91030(626) 755-7710 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elijah J Grant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIJAH J GRANT (NPI 1710845508) is an individual student in an organized health care education/training program in South Pasadena, California and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1710845508
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameELIJAH J GRANT
Location Address205 PASADENA AVESouth Pasadena, CA 91030-2919
Mailing Address205 Pasadena AveSouth Pasadena, CA 91030-2919 · (626) 755-7710
Sole ProprietorYes
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
NPI 1710845508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
205 PASADENA AVE, South Pasadena, CA 91030

Other Identifiers 4

Other7368CA · Medi-cal
Other7667CA · Medi-cal
Other7708CA · Medi-cal
Other7184CA · Medi-cal

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Social Worker
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Student in an Organized Health Care Education/Training Program
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030
Marriage & Family Therapist
205 PASADENA AVE
SOUTH PASADENA, CA 91030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elijah Grant's NPI number?

The NPI number for Elijah Grant is 1710845508. It was assigned to this individual provider in the NPPES registry on January 12, 2026.

Where is Elijah Grant located?

Elijah Grant practices at 205 Pasadena Ave, South Pasadena, CA 91030. The listed phone number is (626) 755-7710.

What is Elijah Grant's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Elijah Grant was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.