Individual provider Active NPI

Karen Ann Gruwell, PA-C

  • Physician Assistant
  • Long Beach, CA
National Provider Identifier
1447526025
Registry record updated Feb 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 11006 Issued in CA
Practice address
2880 Atlantic Ave
#200
Long Beach, CA 90806-1714
Phone
(626) 337-0424
Fax
(626) 813-9095
NPI assigned
Mar 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 11006 CA Primary

Addresses

Primary practice location

2880 Atlantic Ave
#200
Long Beach, CA 90806-1714

Mailing address

1337 E. Maplegrove St.
West Covina, CA 91792-1211
Phone (626) 918-6884

Other names 1

  • Karen Ann Gentile Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA 11006CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: karen.gruwell.1@6257.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455926400000",
    "number": "1447526025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 E. MAPLEGROVE ST.",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921211",
            "telephone_number": "626-918-6884",
            "fax_number": "626-918-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 ATLANTIC AVE",
            "address_2": "#200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061714",
            "telephone_number": "626-337-0424",
            "fax_number": "626-813-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUWELL",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2016-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 11006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "GENTILE",
            "middle_name": "ANN",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.