Individual provider Active NPI

Angela Grimberg, PA-C

  • Medical Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1376320788
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9117907 Issued in FL
Practice address
21020 State Road 7 # 200C
Boca Raton, FL 33428-1320
Phone
(561) 409-1071
Fax
(833) 408-6200
NPI assigned
Sep 11, 2023
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9117907 FL Primary
Hospitalist Physician 208M00000X PA9117907 FL

Addresses

Primary practice location

21020 State Road 7 # 200C
Boca Raton, FL 33428-1320

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

5130 Linton Blvd Ste B4
Delray Beach, FL 33484-6595
Phone (561) 808-0098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260119000133 FL Practitioner - Physician Assistant 6002393360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

21020 State Rd
7 Suite 200C
Boca Raton, FL 33428-1320
Phone (561) 409-1071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9117907FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Jan 9, 2026 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Jan 9, 2026 Accepting new patients
Night Lite Pediatric Center, LLC Past Accepting new patients

Locations

21020 State Road 7
Boca Raton, FL 33428
Phone (561) 883-7502

21020 State Road 7
#200C
Boca Raton, FL 33428
Phone (561) 409-1071

21020 State Road 7
Ste 200C
Boca Raton, FL 33428
Phone (561) 409-1071

5130 Linton Blvd
Ste B4
Delray Beach, FL 33484
Phone (561) 808-0098

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1376320788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21020 STATE ROAD 7 # 200C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281320",
            "telephone_number": "561-409-1071",
            "fax_number": "833-408-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5130 Linton Blvd Ste B4",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846595",
            "country_code": "US",
            "telephone_number": "561-808-0098",
            "fax_number": "561-496-0592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIMBERG",
        "first_name": "ANGELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9117907",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "PA9117907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.