Individual provider Active NPI

Aimee Llaga Gruezo, PA-C

  • Physician Assistant
  • Quincy, MA
National Provider Identifier
1346144565
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA103090 Issued in MA
Practice address
139 Vassall St
Quincy, MA 02170-2217
Phone
(347) 285-8300
NPI assigned
Oct 3, 2026
Last updated
Oct 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA103090 MA Primary

Addresses

Primary practice location

139 Vassall St
Quincy, MA 02170-2217

Mailing address

139 Vassall St
Quincy, MA 02170-2217
Phone (347) 285-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1346144565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 VASSALL ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021702217",
            "telephone_number": "347-285-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 VASSALL ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021702217",
            "telephone_number": "347-285-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUEZO",
        "first_name": "AIMEE",
        "middle_name": "LLAGA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-03",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA103090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.