Gina Analisa Grossi, PA-C, MMS
Individual provider Active NPI Physician Assistant · Stanford, CA
NPI 1306076476 · NPPES record last updated Mar 21, 2023
Key facts
- NPI
- 1306076476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 20297 (CA)
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- Jul 22, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Stanford University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jackson and Engberg Medical Corporation
Practice addresses (Care Compare)
517 W Junipero St
Santa Barbara, CA 93105-4239
Phone (805) 682-8844
Hospital & facility affiliations
- Goleta Valley Cottage Hospital
- Santa Barbara Cottage Hospital
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131025000447 | CA | Practitioner - Physician Assistant | 8325273493 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA20297 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Current |
Accepting new patients | |
| Stanford Health Care | Current |
Accepting new patients | |
| Santa Barbara Cottage Hospital | Past | Accepting new patients | |
| Sansum Clinic | Past | Accepting new patients | |
| Vein Clinic Inc | Past | Accepting new patients |
Locations
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
Interoperability endpoints
- gina.grossi@9985070071812.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA20297 | CA | |
| Physician Assistant | 363A00000X | 20297 | CA | Yes |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 1
2403 Castillo St Ste 202
Santa Barbara, CA 93105-5316
Phone (805) 708-1298
Other providers in Stanford, CA
- Lise Grondahl
- Cassandra Alexis Gross
- Eric Richard Gross
- Laura Anne Gross
- Morgan Gross
- Daniel Benjamin Grossman
- Monica Grover
- Punita Grover
- Fabian Grubert
- Christina Gu
All providers in Stanford, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2023. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.