ELIJAH J GRANT
NPI 1710845508
Student in an Organized Health Care Education/Training Program in South Pasadena, CA
- Individual
- Male
- Student in an Organized Health Care Educ...
About ELIJAH GRANT
This page provides the complete NPI Profile along with additional information for Elijah Grant, a primary care provider established in South Pasadena, California with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1710845508 assigned on January 2026. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1710845508 Verify this NPI
- Provider Name
- ELIJAH J GRANT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 205 PASADENA AVE SOUTH PASADENA, CA 91030
- Location Phone
- (626) 755-7710
- Mailing Address
- 205 PASADENA AVE SOUTH PASADENA, CA 91030
- Mailing Phone
- (626) 755-7710
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-12-2026
- Last Update Date
- 01-12-2026
- Code Navigator
A primary care provider (PCP) like Elijah Grant sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7368 | OTHER (01) | CA | MEDI-CAL |
| 7667 | OTHER (01) | CA | MEDI-CAL |
| 7708 | OTHER (01) | CA | MEDI-CAL |
| 7184 | OTHER (01) | CA | MEDI-CAL |
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
SOUTH PASADENA, CA 91030
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710845508, enumerated as an "individual" on January 12, 2026.
The provider is located at 205 PASADENA AVE SOUTH PASADENA, CA 91030 and the phone number is (626) 755-7710.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
The provider might be accepting Accepts: California Medicaid, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
