Individual provider Active NPI

Dana Grenier Holcomb, MD

  • Specialist
  • Pacific Palisades, CA
National Provider Identifier
1619914967
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G058395 Issued in CA
Practice address
910 Via de la Paz
Ste 205
Pacific Palisades, CA 90272-3515
Phone
(310) 454-5555
Fax
(310) 454-0492
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G058395 CA Primary

Addresses

Primary practice location

910 Via de la Paz
Ste 205
Pacific Palisades, CA 90272-3515

Mailing address

910 Via de la Paz
Ste 205
Pacific Palisades, CA 90272-3515
Phone (310) 454-5555

Other names 1

  • Dana Jo Grenier Professional name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607000566 CA Practitioner - Dermatology 0749223154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard G Bennett MDGroup PAC ID 5496785792, 6 clinicians

Practice addresses (Care Compare)

1301 20TH St
Suite 570
Santa Monica, CA 90404-2080
Phone (310) 315-0171

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision21
Removal of skin lesions1084
Removal of nail tissue1-10
Skin biopsy182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G058395CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard G Bennett MD CurrentSince Apr 1, 2021 Accepting new patients
Simi Dermatologic Medical Center, Inc Current Accepting new patients
Bente Berman MD Inc CurrentSince Oct 11, 2016 Accepting new patients

Locations

29525 Canwood St
Ste 219
Agoura Hills, CA 91301
Phone (818) 865-8133

1301 20th St
Ste 570
Santa Monica, CA 90404
Phone (310) 315-0171

2925 Sycamore Dr
Ste 203
Simi Valley, CA 93065
Phone (805) 527-6586

Organizations & group practices 3

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1619914967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 VIA DE LA PAZ",
            "address_2": "STE 205",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723515",
            "telephone_number": "310-454-5555",
            "fax_number": "310-454-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 VIA DE LA PAZ",
            "address_2": "STE 205",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723515",
            "telephone_number": "310-454-5555",
            "fax_number": "310-454-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "DANA",
        "middle_name": "GRENIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G058395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "GRENIER",
            "middle_name": "JO",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pacific Palisades, CA

Sources for this page

Verify at the official NPI Registry.