Provider Demographics
NPI:1215040845
Name:GRIMES, JAMES B (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:B
Last Name:GRIMES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9330 STOCKDALE HWY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-3614
Mailing Address - Country:US
Mailing Address - Phone:661-324-2491
Mailing Address - Fax:661-324-1045
Practice Address - Street 1:9330 STOCKDALE HWY
Practice Address - Street 2:SUITE 600
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3614
Practice Address - Country:US
Practice Address - Phone:661-324-2491
Practice Address - Fax:661-324-1045
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2017-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG54924207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0045300Medicaid
CA200015486OtherINDIVIDUAL RAILROAD
CAGR0045300Medicaid
0482850001Medicare NSC
CAZZZ23437ZMedicare PIN