Individual provider Active NPI

Cameron Lee Grant

  • Family Nurse Practitioner
  • Atascadero, CA
National Provider Identifier
1659852804
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95008409 Issued in CA
Practice address
2040 Traffic Way
Atascadero, CA 93422-1523
Phone
(805) 801-3012
Fax
(805) 221-6046
NPI assigned
Aug 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95008409 CA Primary

Addresses

Primary practice location

2040 Traffic Way
Atascadero, CA 93422-1523

Mailing address

2040 Traffic Way
Atascadero, CA 93422-1523
Phone (805) 801-3012

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024000398 CA Practitioner - Nurse Practitioner 7911495544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Onclick Healthcare IncorporatedGroup PAC ID 9830511260, 63 clinicians
Openloop Healthcare Partners California PCGroup PAC ID 9234529850, 3 clinicians

Practice addresses (Care Compare)

Calabasas, CA 91302
Phone (818) 230-2116

2040 Traffic Way
Atascadero, CA 93422-1523
Phone (805) 801-3012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95008409CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners California PC CurrentSince Jul 28, 2025 Accepting new patients
Openloop Healthcare Partners California PC Current Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients

Locations

3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806

2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

71935 Highway 111
Rancho Mirage, CA 92270
Phone (949) 694-4937

8270 Woodland Center Blvd
#110112
Tampa, FL 33614
Phone (804) 200-7348

500 Ala Moana Blvd
Ste 7
Honolulu, HI 96813

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208

101 Hudson St
Jersey City, NJ 07302
Phone (516) 432-3800

Interoperability endpoints

  • Direct secure messaging: cameron.grant@1083722832609284.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1535241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1659852804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 TRAFFIC WAY",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934221523",
            "telephone_number": "805-801-3012",
            "fax_number": "805-221-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 TRAFFIC WAY",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934221523",
            "telephone_number": "805-801-3012",
            "fax_number": "805-221-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CAMERON",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-26",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95008409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

Verify at the official NPI Registry.