GRAND MEDISPA GROUP, INC.
GRAND MEDISPA GROUP, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1023263555, based in Chino, CA. The organization lists 9 taxonomy classifications, with Surgery Physician recorded as primary.
Getting there
The practice address on file is 13768 ROSWELL AVE STE 121, Chino, CA 91710. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A37294 | CA | Specialist |
| G48262 | CA | Family Medicine Physician |
| G48262 | CA | Obstetrics & Gynecology Physician |
| A37294 | CA | Obstetrics & Gynecology Physician |
| G48262 | CA | Facial Plastic Surgery Physician |
| G48262 | CA | Plastic Surgery Physician |
| G48262 | AZ | Surgical Oncology Physician |
| G48262 | CA | General Practice Physician |
| G48262 | CA | Pain Medicine Physician |
| G48262 | CA | Surgery Physician primary |
Licences are recorded in 2 states: CA, AZ. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 2 states
This provider holds licences in 2 states: Arizona and California. The practice address on file is in Chino, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Surgery covers
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NUCC Health Care Provider Taxonomy, code 208600000X
All registered taxonomy codes
This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 174400000X | Specialist | A37294 | CA | |
| 207Q00000X | Family Medicine Physician | G48262 | CA | |
| 207V00000X | Obstetrics & Gynecology Physician | G48262 | CA | |
| 207V00000X | Obstetrics & Gynecology Physician | A37294 | CA | |
| 207YS0123X | Facial Plastic Surgery Physician Facial Plastic Surgery | G48262 | CA | |
| 208200000X | Plastic Surgery Physician | G48262 | CA | |
| 2086X0206X | Surgical Oncology Physician Surgical Oncology | G48262 | AZ | |
| 208D00000X | General Practice Physician | G48262 | CA | |
| 208VP0000X | Pain Medicine Physician Pain Medicine | G48262 | CA | |
| 208600000X | Surgery Physician | G48262 | CA | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1023263555 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 25, 2008 |
| Last updated | Nov 25, 2008 |
| Status | Active |
| Practice address |
13768 ROSWELL AVE STE 121 Chino, CA 91710 (909) 902-1401 Fax (909) 902-6317 |
| Mailing address |
13768 ROSWELL AVENUE STE 121 Chino, CA 91710 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 2 | 3 | 2 | 6 | 3 | 5 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 4 | 3 | 4 | 6 | 6 | 5 | 1 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.