Rachel Ali Grean, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

PA52517 Issued in CA

Practice address

180 Newport Center Dr Ste 270
Newport Beach, CA 92660-6998

Phone

(949) 868-6382

NPI assigned

Nov 7, 2014

Sex

Female

Sole proprietor

No

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

Physician Assistant

Education

Nova Southeastern College of Osteo Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jennifer Channual MD IncGroup PAC ID 8628333978, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Jennifer Channual MD Inc

  • Dermatology Physician
  • Laguna Hills, CA
  • NPI 1710485982
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1568868263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NEWPORT CENTER DR STE 270",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606998",
            "telephone_number": "949-868-6382",
            "fax_number": "949-720-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NEWPORT CENTER DR STE 270",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606998",
            "telephone_number": "949-868-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREAN",
        "first_name": "RACHEL",
        "middle_name": "ALI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "PA52517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gratitude Lodge LLC
• Gratitude Lodge LLC (Gratitude Lodge)
• Kenneth Graves Jr., LMFT
• Michael Gray, MD
• Jon Martel Grazer, M.D.
• Greater Newport Physicians
• Greater Newport Physicians Anticoagulation Center
• Grecian Chiropractic
• Todd Pierson Grecian, D.C.
• Green Meadows Mind Health, Inc.

• Dermatology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.