Active NPI
Teresa A. Grossi, N.P.
- Nurse Practitioner
- Valencia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP15948
- Practice address
- 28212 Kelly Johnson Pkwy
Suite 245
Valencia, CA 91355-5084 - Phone
- (661) 254-3686
- Fax
- (661) 254-5671
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP15948 | CA | Primary |
Addresses
Primary practice location
28212 Kelly Johnson Pkwy
Suite 245
Valencia, CA 91355-5084
Mailing address
28212 Kelly Johnson Pkwy
Suite 245
Valencia, CA 91355-5084
Phone (661) 254-3686
Other practice location 1
2438 N Ponderosa Dr Ste C105
Camarillo, CA 93010-2465
Phone (805) 388-2068
Other practice location 2
1700 N Rose Ave Ste 450
Oxnard, CA 93030-7628
Phone (805) 201-7150
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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2438 N Ponderosa Dr
Suite C105
Camarillo, CA 93010-2465
Phone (805) 388-2068
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.5 of 100
- Promoting interoperability
- 90
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257422 | MA | MD | Pediatrics Physician |
| NP15948 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Csi Medical Group | Current | Accepting new patients | |
| Chase Dennis Emergency Medical Group Inc | Nurse Practitioner | Past | Accepting new patients |
Locations
2438 N Ponderosa Dr
Ste C105
Camarillo, CA 93010
Phone (805) 308-2068
2438 N Ponderosa Dr
#C150
Camarillo, CA 93010
1700 N Rose Ave
Ste 370
Oxnard, CA 93030
Phone (805) 388-2068
1700 N Rose Ave
Ste 450
Oxnard, CA 93030
Phone (805) 201-2821
4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994
Interoperability endpoints
- teresa.grossi.p1@direct.lakeside.nextgenshare.com
- teresa.grossi@schweigerderm.emadirect.md
Organizations & group practices 2
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.
-
- MOHS-Micrographic Surgery Physician
- San Pedro, CA
- NPI 1871909804
-
- Emergency Medicine Physician
- Santa Rosa, CA
- NPI 1033152350
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1700935103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28212 KELLY JOHNSON PKWY",
"address_2": "SUITE 245",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555084",
"telephone_number": "661-254-3686",
"fax_number": "661-254-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28212 KELLY JOHNSON PKWY",
"address_2": "SUITE 245",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555084",
"telephone_number": "661-254-3686",
"fax_number": "661-254-5671"
}
],
"practiceLocations": [
{
"address_1": "2438 N Ponderosa Dr Ste C105",
"address_purpose": "LOCATION",
"city": "Camarillo",
"state": "CA",
"postal_code": "930102465",
"country_code": "US",
"telephone_number": "805-388-2068",
"fax_number": "805-484-7700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 N Rose Ave Ste 450",
"address_purpose": "LOCATION",
"city": "Oxnard",
"state": "CA",
"postal_code": "930307628",
"country_code": "US",
"telephone_number": "805-201-7150",
"fax_number": "805-278-0137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROSSI",
"first_name": "TERESA",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP15948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.