WILLIAM ROBERT GRANDOLFO M.D. NPI 1649596479

NPI Information

  • NPI: 1649596479
  • Provider Name: WILLIAM ROBERT GRANDOLFO, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17330 BROOKHURST STREET
    SUITE 315
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Phone: (714) 377-3198

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NPI Details

William Robert Grandolfo, M.D. is a diagnostic radiology radiology in Fountain Valley, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. William Robert Grandolfo, M.D. NPI is 1649596479. 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:

17330 BROOKHURST STREET
SUITE 315
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 377-3198
Fax: (714) 377-3198

The NPI 1649596479 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 4/19/2010 and was last updated on 4/19/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyG13336CALIFORNIAYes

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: 11/21/2025

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