Therese R Grenchik, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

523959 Issued in CA

Practice address

901 Campus Dr Ste 214
Daly City, CA 94015-4930

Phone

(650) 993-6300

Fax

(650) 993-4184

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Health Medical Group IncGroup PAC ID 4385808617, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ahmc Seton Medical Center Hospital, Daly City, CA, CCN 050289
• Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007
• California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: therese.grenchik.1@24668.direct.athenahealth.com

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.

• My Health Medical Group Inc

  dba Altais medical group

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1265719033
  Medicare reassignment Care Compare group NPD
• DCHS Medical Foundation

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1740597368
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahmc Seton Medical Center LLC

  dba Seton Medical Center ,Seton Medical Center Coastside

  • General Acute Care Hospital
  • Daly City, CA
  • NPI 1023636545
  Care Compare affiliation
• Ahmc Seton Medical Center LLC

  dba Seton Medical Center, Seton Medica Center Coastside

  • Psychiatric Hospital Unit
  • Daly City, CA
  • NPI 1639797855
  Care Compare affiliation
• Sutter Bay Hospitals

  dba Mills-Peninsula Medical Center

  • General Acute Care Hospital
  • Burlingame, CA
  • NPI 1043670334
  Care Compare affiliation
• Sutter Bay Hospitals

  dba Menlo Park Surgical Hospital

  • General Acute Care Hospital
  • Menlo Park, CA
  • NPI 1295199701
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1740348929
  Care Compare affiliation

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1679608442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DR STE 214",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154930",
            "telephone_number": "650-993-6300",
            "fax_number": "650-993-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DR STE 214",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154930",
            "telephone_number": "650-993-6300",
            "fax_number": "650-993-4184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Southgate Ave",
            "address_2": "Suite 209",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152259",
            "country_code": "US",
            "telephone_number": "650-994-9090",
            "fax_number": "650-994-9093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRENCHIK",
        "first_name": "THERESE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "523959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fnpterry@mindspring.com",
            "affiliation": "N",
            "address_1": "901 Campus Dr Ste 214",
            "city": "Daly City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940154930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Nurse Practitioner in Daly City, CA
• Providers in Daly City, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.

Verify at the official NPI Registry.