Cedar Marin Grice, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95016903 Issued in CA

Practice address

7070 Hollister Ave Ste 103
Goleta, CA 93117-2895

Phone

(805) 324-9270

NPI assigned

Aug 9, 2021

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cottage Clinical Network LLCGroup PAC ID 1850712530, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cottage Clinical Network, LLC

  dba Cottage Urgent Care

  • Urgent Care Clinic/Center
  • Santa Barbara, CA
  • NPI 1588209357
  Medicare reassignment Care Compare group NPD
• Cottage Medical Associates

  • Internal Medicine Physician
  • Santa Barbara, CA
  • NPI 1972669562
  NPD (past)

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1437824836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 WALNUT LN",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112633",
            "telephone_number": "805-705-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 HOLLISTER AVE STE 103",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172895",
            "telephone_number": "805-324-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRICE",
        "first_name": "CEDAR",
        "middle_name": "MARIN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95016903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Praajnya Gowder
• Joshua Graham
• Max Granholm
• Christopher Grant, PT
• Carl Greek Jr
• Mayra Guevara Rios, MS
• Dakota Gutierrez, BCBA
• Destiny Mariah Gutierrez
• Leana Elena Gutierrez, LMFT
• Lorena Marie Gutierrez, BA

• Family Nurse Practitioner in Goleta, CA
• Providers in Goleta, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.

Verify at the official NPI Registry.