Active NPI
Michael T Grammas, PA
- Independent Duty Corpsman
- Newport Beach, CA
National Provider Identifier
1497345904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 152871 | CA | MD | Paramedic |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Newport Beach, CA
- NPI 1437887395
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.