Individual provider Active NPI

Teresa A. Grossi, N.P.

  • Nurse Practitioner
  • Valencia, CA
National Provider Identifier
1700935103
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP15948 Issued in CA
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

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070324000104 CA Practitioner - Nurse Practitioner 0446210587 Reassigns benefits to 1 organization

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
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

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 100Reported as individual
Promoting interoperability
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257422MAMDPediatrics Physician
NP15948CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Csi Medical Group CurrentSince Dec 1, 2019 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

  • Direct secure messaging: teresa.grossi.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.