Individual provider Active NPI

Gina M Grasso, OD

  • Optometrist
  • Escondido, CA
National Provider Identifier
1700899952
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT11139T Issued in CA
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

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
WOP11139AMedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
OPT11139TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.