Alyssa Gruenberg

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

53669 Issued in CA

Practice address

8100 Timberlake Way Ste F
Sacramento, CA 95823-5409

Phone

(510) 241-2884

NPI assigned

Aug 19, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Direct Dermatology Professionals PC

  • Dermatology Physician
  • Manteca, CA
  • NPI 1417263922
  NPD (past)
• Robert E Beer M D Inc

  • Dermatology Physician
  • Brentwood, CA
  • NPI 1801449970
  NPD (past)

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1366997249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 TIMBERLAKE WAY STE F",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235409",
            "telephone_number": "510-241-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 TIMBERLAKE WAY STE F",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235409",
            "telephone_number": "510-241-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENBERG",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Growing Seeds, Inc.
• Steven Growney
• John J Grozdanic, M.S.
• Demitrous Grubbs, M.D.
• Eric Gruen
• Nina J Grueneberger, LCSW
• Ma Jobylyn Saludo Grummel, LCSW
• Kollin David Grunberg
• Clayton Grundvig, MD
• Traci Jane Grussenmeyer

• Physician Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.