Individual provider Active NPI

Robert Douglas Grigg, PA

  • Physician Assistant
  • Chico, CA
National Provider Identifier
1407371941
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
55070 Issued in CA
Practice address
277 Cohasset Rd
Chico, CA 95926
Phone
(530) 877-7200
Fax
(530) 327-7312
NPI assigned
Aug 5, 2017
Last updated
Mar 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 55070 CA Primary

Addresses

Primary practice location

277 Cohasset Rd
Chico, CA 95926

Mailing address

277 Cohasset Rd
Chico, CA 95926-2242
Phone (530) 877-7200

Other practice location 1

6225 Forest Ln
Paradise, CA 95969-3512
Phone (530) 327-4198

Other practice location 2

6225 Forest Ln
Paradise, CA 95969-3512
Phone (530) 327-4198

Other practice location 3

5125 Skyway
Paradise, CA 95969-5624
Phone (530) 872-2000

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
I20171130003378 CA Practitioner - Physician Assistant 2163789058 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paradise Medical Group IncGroup PAC ID 1456246065, 5 clinicians

Practice addresses (Care Compare)

6460 Pentz Rd
Paradise, CA 95969-3673
Phone 53087266502029

6470 Pentz Rd
Paradise, CA 95969-3674
Phone 53087266502029

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Mar 19, 2020 Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 19, 2020 Accepting new patients

Locations

111 Raley Blvd
Ste 140
Chico, CA 95928
Phone (530) 342-5776

5125 Skyway
Paradise, CA 95969
Phone (530) 872-2000

Interoperability endpoints

  • Direct secure messaging: robert.griggs.1@10649.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1501891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1407371941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262242",
            "telephone_number": "530-877-7200",
            "fax_number": "530-327-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95926",
            "telephone_number": "530-877-7200",
            "fax_number": "530-327-7312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6225 Forest Ln",
            "address_purpose": "LOCATION",
            "city": "Paradise",
            "state": "CA",
            "postal_code": "959693512",
            "country_code": "US",
            "telephone_number": "530-327-4198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6225 Forest Ln",
            "address_purpose": "LOCATION",
            "city": "Paradise",
            "state": "CA",
            "postal_code": "959693512",
            "country_code": "US",
            "telephone_number": "530-327-4198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5125 Skyway",
            "address_purpose": "LOCATION",
            "city": "Paradise",
            "state": "CA",
            "postal_code": "959695624",
            "country_code": "US",
            "telephone_number": "530-872-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIGG",
        "first_name": "ROBERT",
        "middle_name": "DOUGLAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-05",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.