Active NPI
Ellen Grimes Osborne, PA
- Physician Assistant
- Paramount, CA
National Provider Identifier
1023203569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA12484
- Practice address
- 8835 Vans St
Paramount, CA 90723-4656 - Phone
- (562) 633-5111
- NPI assigned
- Sep 7, 2007
- Last updated
- Sep 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA12484 | CA | Primary |
Addresses
Primary practice location
8835 Vans St
Paramount, CA 90723-4656
Mailing address
8835 Vans St
Paramount, CA 90723-4656
Phone (562) 633-5111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA12484 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1023203569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8835 VANS ST",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907234656",
"telephone_number": "562-633-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8835 VANS ST",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907234656",
"telephone_number": "562-633-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE",
"first_name": "ELLEN",
"middle_name": "GRIMES",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA12484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paramount, CA
- Nicole Oliver
- Olympic Optometric Center, Inc., a Professional Corporation
- Optica Optometry Vision Center
- Monica Ortiz-Ramos
- Jose Ortiz, RDH
- Para Latino Medical Center Inc
- Paramount Convalescent Group Inc (Paramount Convalescent Hospital)
- Paramount Family Optometry
- Paramount Family Vision Center
- Paramount Hope Dialysis Center LLC (Fresenius Kidney Care Paramount)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.