Active NPI
Gina M Grasso, OD
- Optometrist
- Escondido, CA
National Provider Identifier
1700899952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT11139T
- Practice address
- 1955 Citracado Pkwy
Ste 301
Escondido, CA 92029-4113 - Phone
- (760) 746-3937
- Fax
- (760) 746-3991
- NPI assigned
- Aug 15, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT11139T | CA | Primary |
Addresses
Primary practice location
1955 Citracado Pkwy
Ste 301
Escondido, CA 92029-4113
Mailing address
1955 Citracado Pkwy
Ste 301
Escondido, CA 92029-4113
Phone (760) 746-3937
Other practice location 1
920 E Morton Pl
Hemet, CA 92543-4529
Phone (760) 746-3937
Other practice location 2
900 E Morton Pl
Hemet, CA 92543-4529
Phone (760) 746-3937
Other practice location 3
838 Nordahl Rd Ste 220
San Marcos, CA 92069-3595
Phone (760) 746-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WOP11139A | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | OfficeMate/ExamWriter | Other |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT11139T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Larry C Hughes MD Inc a Medical Corporation | Past | Accepting new patients | |
| Dean E. King, O.D. | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- ggrasso81317@scrippshlth.medalliesdirect.net
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.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Optometrist
- Hemet, CA
- NPI 1568675924
-
- Family Medicine Physician
- Hemet, CA
- NPI 1861546681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1700899952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1955 CITRACADO PKWY",
"address_2": "STE 301",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920294113",
"telephone_number": "760-746-3937",
"fax_number": "760-746-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 CITRACADO PKWY",
"address_2": "STE 301",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920294113",
"telephone_number": "760-746-3937",
"fax_number": "760-746-3991"
}
],
"practiceLocations": [
{
"address_1": "920 E Morton Pl",
"address_purpose": "LOCATION",
"city": "Hemet",
"state": "CA",
"postal_code": "925434529",
"country_code": "US",
"telephone_number": "760-746-3937",
"fax_number": "760-746-3991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 E Morton Pl",
"address_purpose": "LOCATION",
"city": "Hemet",
"state": "CA",
"postal_code": "925434529",
"country_code": "US",
"telephone_number": "760-746-3937",
"fax_number": "760-746-3991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "838 Nordahl Rd Ste 220",
"address_purpose": "LOCATION",
"city": "San Marcos",
"state": "CA",
"postal_code": "920693595",
"country_code": "US",
"telephone_number": "760-746-3937",
"fax_number": "760-746-3991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRASSO",
"first_name": "GINA",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT11139T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WOP11139A",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "OfficeMate/ExamWriter",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "EHR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "1955 CITRACADO PKWY",
"address_2": "STE 301",
"city": "ESCONDIDO",
"state": "CA",
"country_code": "US",
"postal_code": "920294113",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.