Active NPI
Karen Ann Gruwell, PA-C
- Physician Assistant
- Long Beach, CA
National Provider Identifier
1447526025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 11006
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA 11006 | CA | MD | Physician Assistant |
Interoperability endpoints
- 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
- Shad James Groves, DC, DACNB, QME
- Growing Healthy Together Inc., a Medical Corporation
- Growth Educational Services, Inc
- Molly Gruber, LMFT
- Jacob Grundhauser
- Sasha Gruwell
- Maria Michelle Grywalski, FNP-BC
- Guadalupe Medical Group a Professional Corporation
- Eliannette Guadarrama
- Laura Gabriella Guajardo
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.