Active NPI
Zoe Grossman
- Rehabilitation Practitioner
- Auburn, CA
National Provider Identifier
1629703905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 11434 B Ave
Auburn, CA 95603-2603 - Phone
- (530) 906-3538
- NPI assigned
- Jul 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CA | ||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
11434 B Ave
Auburn, CA 95603-2603
Mailing address
1000 Sunset Blvd
Rocklin, CA 95765-3791
Phone (530) 906-3538
Other practice location 1
1000 Sunset Blvd
Rocklin, CA 95765-3791
Phone (530) 906-3538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172V | Medicaid | CA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1629703905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 SUNSET BLVD",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957653791",
"telephone_number": "530-906-3538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11434 B AVE",
"city": "AUBURN",
"state": "CA",
"postal_code": "956032603",
"telephone_number": "530-906-3538"
}
],
"practiceLocations": [
{
"address_1": "1000 Sunset Blvd",
"address_purpose": "LOCATION",
"city": "Rocklin",
"state": "CA",
"postal_code": "957653791",
"country_code": "US",
"telephone_number": "530-906-3538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROSSMAN",
"first_name": "ZOE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172V",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.