Shawn Louise Graciano, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15515 Issued in CA

Practice address

1420 S Central Ave
Glendale, CA 91204-2508

Phone

(818) 502-2344

Fax

(818) 502-4501

NPI assigned

Jun 23, 2006

Last updated

Feb 17, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shawn Louise Davison Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

84.94 of 100Reported as group

Quality

73.38

Improvement activities

40

Cost

72.82

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allied Emergency Physicians, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Simi Valley, CA
  • NPI 1043531346
  Medicare reassignment
• Glendale Emergency Medical Associates, Inc

  • Emergency Medicine Physician
  • Glendale, CA
  • NPI 1588606834
  Medicare reassignment
• Michael S. Agron, M.D., Inc.

  • Emergency Medicine Physician
  • Arcadia, CA
  • NPI 1699716100
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1144256983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10629 GOTHIC AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446827",
            "telephone_number": "818-929-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042508",
            "telephone_number": "818-502-2344",
            "fax_number": "818-502-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIANO",
        "first_name": "SHAWN",
        "middle_name": "LOUISE",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA15515",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "DAVISON",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ayla Gouzoubachian, R.D.
• Grace Home Care Services
• Grace Kim Austin MD Inc
• Grace Residential Care Facility, LLC
• Hikanoush Ann Grachian, DDS
• Ann-Marie Jean Graffius, MSW
• Katherine Sue Graham, PT
• Ashlee Granados
• Grancare LLC (Autumn Hills Healthcare Center)
• Grand Care Medical Transportation Inc

• Physician Assistant in Glendale, CA
• Providers in Glendale, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.