Angela N Grasser, MD
Individual provider Active NPI Family Medicine Physician · Kerman, CA
NPI 1285853697 · NPPES record last updated Nov 13, 2013
Key facts
- NPI
- 1285853697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A93433 (CA)
- Practice address
- 1000 S Madera Ave
Kerman, CA 93630-1750 - Phone
- (559) 846-9370
- Fax
- (559) 846-9354
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150820010397 | CA | Order and Referring Only - Family Practice |
1658461314 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A93433 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Health Centers of the San Joaquin Valley | Past | Accepting new patients | |
| Central Valley General Hospital | Past | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| Hanford Community Hospital | Past | Accepting new patients |
Interoperability endpoints
- angela.grasser.1@17661.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A93433 | CA | Yes |
Addresses
Primary practice location
1000 S Madera Ave
Kerman, CA 93630-1750
Mailing address
1000 S Madera Ave
Kerman, CA 93630-1750
Phone (559) 846-9370
Other providers in Kerman, CA
- Brianna Gill
- Yajaira Gomez
- Mirla Eralia Gonzalez Morales
- Alicia Gonzalez
- Maria Guadalupe Gonzalez
- Michele J Greenhouse
- Shannon Paul Guidry
- Angel Guillen
- Rosamaria Guzman-Ortiz
- Kenneth Harmon
All providers in Kerman, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.