Individual provider Active NPI

Michael T Grammas, PA

  • Independent Duty Corpsman
  • Newport Beach, CA
National Provider Identifier
1497345904
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
20072 SW Birch St Ste 190
Newport Beach, CA 92660-0799
Phone
(949) 235-7735
NPI assigned
Jan 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 152871 CA
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 152871 CA
Physician Assistant 363A00000X FL
Independent Duty Corpsman 1710I1002X Primary

Addresses

Primary practice location

20072 SW Birch St Ste 190
Newport Beach, CA 92660-0799

Mailing address

27762 Antonio Pkwy L1 #325
Ladera Ranch, CA 92694
Phone (949) 235-7735

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mgrammas@amcmdinc.com Direct

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
152871CAMDParamedic

Practice roles

OrganizationSpecialtyStatusNew patients
Angela M Colombo MD Inc Current Accepting new patients

Locations

2166 Michelson Dr
Irvine, CA 92612
Phone (949) 660-5654

20072 SW Birch St
Ste 190
Newport Beach, CA 92660
Phone (949) 354-4161

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1497345904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27762 ANTONIO PKWY L1 #325",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "92694",
            "telephone_number": "949-235-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20072 SW BIRCH ST STE 190",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600799",
            "telephone_number": "949-235-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMMAS",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "CA",
            "license": "152871",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "152871",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mgrammas@amcmdinc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "27762 Antonio Pkwy L1 #325",
            "city": "Ladera Ranch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.