Individual provider Active NPI

Amy Grigore

  • Medical Physician Assistant
  • Hanford, CA
National Provider Identifier
1396212395
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
56222 Issued in CA
Practice address
329 W 8TH St Ste 111
Hanford, CA 93230-4533
Phone
(559) 582-2500
Fax
(559) 582-0550
NPI assigned
Oct 28, 2018
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 56222 CA Primary

Addresses

Primary practice location

329 W 8TH St Ste 111
Hanford, CA 93230-4533

Mailing address

PO Box 580
Lemoore, CA 93245-0580
Phone (559) 386-4500

Other practice location 1

329 W 8th St Ste 109
Hanford, CA 93230-4533
Phone (559) 582-2500

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181227001970 CA Order and Referring Only - Physician Assistant 5395080063

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Community Health Center CurrentSince Mar 31, 2024 Accepting new patients
Aria Community Health Center PastSince Mar 31, 2024 Accepting new patients
Aria Community Health Center PastSince Dec 22, 2019 Accepting new patients
Aria Community Health Center Past Accepting new patients

Locations

329 W 8th St
Ste 111
Hanford, CA 93230
Phone (559) 582-2500

Interoperability endpoints

  • Direct secure messaging: amy.grigore.p1@direct.ariachc.nextgenshare.com

Organizations & group practices 4

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": "1540684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1396212395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932450580",
            "telephone_number": "559-386-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 W 8TH ST STE 111",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304533",
            "telephone_number": "559-582-2500",
            "fax_number": "559-582-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 W 8th St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932304533",
            "country_code": "US",
            "telephone_number": "559-582-2500",
            "fax_number": "559-582-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIGORE",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-28",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "56222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.