Active NPI
Dana Grenier Holcomb, MD
- Specialist
- Pacific Palisades, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G058395
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 21 |
| Removal of skin lesions | 1084 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 182 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G058395 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard G Bennett MD | Current | Accepting new patients | |
| Simi Dermatologic Medical Center, Inc | Current | Accepting new patients | |
| Bente Berman MD Inc | Current | 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.
-
- Dermatology Physician
- Santa Monica, CA
- NPI 1467508523
-
- Dermatology Physician
- Agoura Hills, CA
- NPI 1487924379
-
- Dermatology Physician
- Simi Valley, CA
- NPI 1144225269
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.