Tem Gronquist, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10850T Issued in CA

Practice address

1805 State St
Suite B
Santa Barbara, CA 93101-8415

Phone

(805) 569-1504

Fax

(805) 569-8707

NPI assigned

Jan 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS. Joanne and Tem Gronquist, Inc.Group PAC ID 3971900341, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• DRS. Joanne and Tem Gronquist, Inc.

  • Optometrist
  • Santa Barbara, CA
  • NPI 1902488893
  Medicare reassignment Care Compare group NPD
• Joanne Gronquist, O.D.

  • Optometrist
  • Santa Barbara, CA
  • NPI 1518938117
  Medicare reassignment

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1316918915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 STATE ST",
            "address_2": "SUITE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931018415",
            "telephone_number": "805-569-1504",
            "fax_number": "805-569-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 STATE ST",
            "address_2": "SUITE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931018415",
            "telephone_number": "805-569-1504",
            "fax_number": "805-569-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONQUIST",
        "first_name": "TEM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10850T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE NUMBER",
            "identifier": "10865T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tim Griggs
• Suzanne Elaine Grimmesey-Kirk, M.A.
• Yana Davidovna Gristan, MD
• Theodore Aaron Grondahl, AMFT
• Joanne Gronquist, O.D.
• Hannah Elizabeth Gross, PA
• Howard Michael Gross, M.D.
• Jacalyn M Gross, MFT
• Elizabeth Grossman
• Elyse Lenore Grossman

• Optometrist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.