Holly Gruwell Antonyan, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

21075 Issued in CA

Practice address

24520 Hawthorne Blvd Ste 240
Torrance, CA 90505-6849

Phone

(310) 300-6206

Fax

(310) 919-3703

NPI assigned

Aug 19, 2011

Last updated

Sep 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Holly M Gruwell 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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hillside DermatologyGroup PAC ID 0446606594, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.17 of 100Reported as group

Quality

74.51

Promoting interoperability

92

Improvement activities

40

Cost

82.72

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Hillside Dermatology

  • Dermatology Physician
  • Torrance, CA
  • NPI 1851174924
  Medicare reassignment Care Compare group NPD
• Torrance Memorial Medical Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1740268713
  NPD (past)
• J. Robert West, M.D., Inc

  dba West Dermatology

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1114567997
  NPD (past)

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727568000000",
    "number": "1144500398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28625 S WESTERN AVE # 55",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24520 HAWTHORNE BLVD STE 240",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056849",
            "telephone_number": "310-300-6206",
            "fax_number": "310-919-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONYAN",
        "first_name": "HOLLY",
        "middle_name": "GRUWELL",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "21075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "GRUWELL",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dante Anton
• Roderick Antone, RN
• Narin Antoniades
• Catherine Danielle Antonuk, MD
• Albert Antonyan, MD
• Mora Antoun
• Ifeyinwa S Anyanwu, NP
• Ogechi Anyanwu
• Michael Joseph Anzivino, MD
• Apex Surgical Center LLC

• Nurse Practitioner in Torrance, CA
• Providers in Torrance, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2024; 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.