CORINNE GRANT NPI 1942688072

Clinic/Center (Health Service) in Corte Madera, CA

NPI 1942688072 Organization Clinic/Center Health Service

About CORINNE GRANT

Corinne Grant is a provider established in Corte Madera, California specializing in clinic/center (health service) . The NPI number of Corinne Grant is 1942688072 and was assigned on May 2015. The practitioner's primary taxonomy code is 261QH0100X with license number 16177 (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Corinne Grant Grant B.s., M.s., L.ac. (Acupuncturist/herbalist)

NPI

1942688072

Provider NameCORINNE GRANT
Provider Location Address45 SAN CLEMENTE DR SUITE 130 CORTE MADERA, CA 94925
Provider Mailing Address1161 MEADOWCREST DR CORTE MADERA, CA 94925
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-08-2015
Last Update Date05-08-2015


Primary Taxonomy

Taxonomy Code261QH0100X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationHealth Service
License No.16177
License StateCA

Business Address

CORINNE GRANT
45 SAN CLEMENTE DR
SUITE 130
CORTE MADERA, CA
ZIP 94925
Phone: (415) 212-8808

Get Directions


Mailing Address

CORINNE GRANT
1161 MEADOWCREST DR
CORTE MADERA, CA
ZIP 94925
Phone: (415) 212-8808



Authorized Official

Authorized Official Name CORINNE GRANT GRANT B.S., M.S., L.AC.
Authorized Official TitleACUPUNCTURIST/HERBALIST
Authorized Official Phone(415) 212-8808

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942382122MR. DAVID BRYAN KITTS L.AC.
Individual
Acupuncturist45 SAN CLEMENTE DR SUITE B 120
CORTE MADERA, CA 94925
(415) 269-0885
1316226046 KATHY CLAIRE SLANE OTR/L
Individual
Occupational Therapist45 SAN CLEMENTE DR SUITE C200
CORTE MADERA, CA 94925
(415) 378-5776
1881954626MR. THOMAS FRIEDRICH CMT
Individual
Massage Therapist45 SAN CLEMENTE DR SUITE D130
CORTE MADERA, CA 94925
(415) 496-5070
1437429206MS. KIM HOPPIN M.A.
Individual
Audiologist-Hearing Aid Fitter45 SAN CLEMENTE DR SUITE D140
CORTE MADERA, CA 94925
(415) 381-1567
1457768434 JONATHAN POFSKY MFT
Individual
Marriage & Family Therapist45 SAN CLEMENTE DR SUITE B 120
CORTE MADERA, CA 94925
(415) 577-5338
1144455361 EMILY TEJANI MD MPH
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)45 SAN CLEMENTE DR SUITE D230E
CORTE MADERA, CA 94925
(415) 510-2204
1841640935 MINDY L ZIMMERMAN CMT, CLT, BCTMB
Individual
Massage Therapist45 SAN CLEMENTE DR SUITE D100A
CORTE MADERA, CA 94925
(415) 450-5345
1255522264DR. NAZINEH NEZHAD HUFF MD
Individual
Psychiatry & Neurology (Psychiatry)45 SAN CLEMENTE DR STE D-230C
CORTE MADERA, CA 94925
(415) 830-4833
1750825360MINDFIT FAMILY THERAPY
Organization
Marriage & Family Therapist45 SAN CLEMENTE DR C200
CORTE MADERA, CA 94925
(415) 339-8001

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.