Active NPI
Gregorio L De Grano, NP
- Family Nurse Practitioner
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP23058
- Practice address
- 17075 Devonshire St Ste 204
Northridge, CA 91325-5408 - Phone
- (661) 878-6313
- NPI assigned
- May 7, 2013
- Last updated
- May 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP23058 | CA | Primary |
Addresses
Primary practice location
17075 Devonshire St Ste 204
Northridge, CA 91325-5408
Mailing address
17075 Devonshire St Ste 204
Northridge, CA 91325-5408
Phone (661) 878-6313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23058 | Other | CA | NP |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Pleasant Hill, CA 94523
Phone (510) 224-6556
19715 Sherman Way
Suite 390
Winnetka, CA 91306-3601
Phone (818) 572-0789
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Wound & Hyperbaric Specialists Inc | Current | Accepting new patients | |
| Intel Medical Group Inc | Current | Accepting new patients | |
| Luis M Blando MD Inc | Current | Accepting new patients | |
| Kindred Heart Hospice, Inc | Past | Accepting new patients |
Locations
10727 White Oak Ave
Ste 117
Granada Hills, CA 91344
Phone (818) 224-9390
2255 Morello Ave
Ste 121
Pleasant Hill, CA 94523
Phone (510) 224-6556
430 Park Ave
Port Hueneme, CA 93041
Phone (805) 487-3881
19715 Sherman Way
Ste 390
Winnetka, CA 91306
Phone (818) 572-0789
20301 Ventura Blvd
Ste 352
Woodland Hills, CA 91364
Phone (818) 593-9140
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.
-
- Wound Care Registered Nurse
- Pleasant Hill, CA
- NPI 1144105206
-
- Family Medicine Physician
- Carson, CA
- NPI 1578647269
-
- Primary Care Nurse Practitioner
- Woodland Hills, CA
- NPI 1407368236
-
- Psychiatry Physician
- Northridge, CA
- NPI 1467484576
-
- Community Based Hospice Care Agency
- Winnetka, CA
- NPI 1578116976
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- North Hollywood, CA
- NPI 1215470042
-
dba West Creek Home Health Care Services
- Home Health Agency
- Valencia, CA
- NPI 1033857230
-
- Home Health Agency
- Tujunga, CA
- NPI 1942494281
-
- Home Health Agency
- Van Nuys, CA
- NPI 1548878317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367884800000",
"number": "1417392176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17075 DEVONSHIRE ST STE 204",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913255408",
"telephone_number": "661-878-6313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17075 DEVONSHIRE ST STE 204",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913255408",
"telephone_number": "661-878-6313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE GRANO",
"first_name": "GREGORIO",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-07",
"last_updated": "2013-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP23058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP",
"identifier": "23058",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.