Healthcare Provider Details

I. General information

NPI: 1851431290
Provider Name (Legal Business Name): JANET GRIPSHOVER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 BEVERLY BLVD FL 3
WEST HOLLYWOOD CA
90048-2438
US

IV. Provider business mailing address

4140 W 190TH ST
TORRANCE CA
90504-5513
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-2641
  • Fax: 310-423-0234
Mailing address:
  • Phone: 310-423-2641
  • Fax: 310-423-0234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP018905
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95021316
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR172924
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: