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DR. PAUL CHARLES GRIMM M.D. NPI 1184705386


NPI Information

NPI: 1184705386
Provider Name: DR. PAUL CHARLES GRIMM, M.D.
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

Organization: LPCH MEDICAL GROUP DIV OF LUCILE

PECOS Registration: Yes

Address:
300 PASTEUR DR
G306, MC5208
STANFORD, CA
ZIP 94305
Phone: (650) 723-7903
Get Directions

DR. Paul Charles Grimm, M.D. is a pediatric nephrology pediatrics in Stanford, CA with 43 years of experience. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. DR. Paul Charles Grimm, M.D. NPI is 1184705386. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 PASTEUR DR
G306, MC5208
STANFORD, CA
ZIP 94305-200
Phone: (650) 723-7903
Fax: (650) 498-6714

The NPI 1184705386 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 11/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0210XPediatricsPediatric NephrologyA44616CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A44616OTHERCALIFORNIACALIFORNIA MEDICAL LICENS
2WA44616BMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
300A446160OTHERCALIFORNIAMEDI-CAL PROVIDER
4G83745MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.