Active NPI
Tawny Minna Grossman, NP
- Family Nurse Practitioner
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95001921
- Practice address
- 6400 E Pacific Coast Hwy Ste D210
Long Beach, CA 90803-4265 - Phone
- (415) 658-6791
- NPI assigned
- Apr 10, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95001921 | CA | Primary |
Addresses
Primary practice location
6400 E Pacific Coast Hwy Ste D210
Long Beach, CA 90803-4265
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14443 Culver Dr
14443 A
Irvine, CA 92604-0343
Phone (949) 767-8173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of California PC | Current | Accepting new patients | |
| Carbon Health Medical Group of California PC | Current | Accepting new patients | |
| Providence Saint Johns Medical Foundation | Current | Accepting new patients | |
| Hoag Clinic | Current | Accepting new patients |
Locations
13299 South St
Cerritos, CA 90703
Phone (562) 865-8750
3195 Harbor Blvd
Ste 3
Costa Mesa, CA 92626
Phone (714) 263-0227
10165 Valley View St
Cypress, CA 90630
Phone (657) 348-2427
14443 Culver Dr
#14443A
Irvine, CA 92604
Phone (949) 767-8173
6340 Irvine Blvd
Irvine, CA 92620
Phone (949) 559-6500
14443 Culver Dr
Ste 14443A
Irvine, CA 92604
1040 W Imperial Hwy
Ste D
La Habra, CA 90631
Phone (714) 451-1072
3851 Katella Ave
Ste 100
Los Alamitos, CA 90720
Phone (562) 424-5450
858 N Rose Dr
Ste C2
Placentia, CA 92870
Phone (714) 792-3736
1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990
Interoperability endpoints
- https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
dba Carbon Health
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
-
dba Saint John's Physician Partners
- Specialist
- Santa Monica, CA
- NPI 1770093734
-
dba Carbon Health
- Urgent Care Clinic/Center
- Pasadena, CA
- NPI 1255957205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1649666298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 E PACIFIC COAST HWY STE D210",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908034265",
"telephone_number": "415-658-6791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "TAWNY",
"middle_name": "MINNA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-10",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95001921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.