NPIMap

Individual provider Active NPI

Gregory J Porter, M.D.

  • Anesthesiology Physician
  • Grass Valley, CA
National Provider Identifier
1790741262
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G72310 Issued in CA
Practice address
400 Sierra College Dr Ste B
Grass Valley, CA 95945-5093
Phone
(530) 272-3428
Fax
(530) 272-3429
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X G72310 CA
Interventional Pain Medicine Physician 208VP0014X G72310 CA
Anesthesiology Physician 207L00000X G72310 CA Primary

Addresses

Primary practice location

400 Sierra College Dr Ste B
Grass Valley, CA 95945-5093

Mailing address

PO Box 25033
Santa Ana, CA 92799-5033
Phone (800) 883-7243

Other practice location 1

605 W East Ave
Chico, CA 95926-7201
Phone (530) 343-4757

Other identifiers 1

IdentifierTypeStateIssuer
00G723100MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402001156 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 6507858966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
State University of New York at Stony Brook, School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interventional Pain Solutions PCGroup PAC ID 2264628734, 9 clinicians

Practice addresses (Care Compare)

400 Sierra College Dr
Grass Valley, CA 95945-5093

400 Sierra College Dr
B
Grass Valley, CA 95945-5089

400 Sierra College Dr B
Grass Valley, CA 95945-5093

605 W E Ave
Chico, CA 95926-7201
Phone (530) 343-4757

Hospital & facility affiliations

  • Enloe Health Hospital, Chico, CA, CCN 050039
  • Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317
  • St Elizabeth Community Hospital Hospital, Red Bluff, CA, CCN 050042

Merit-based Incentive Payment System (MIPS)

Final score
86.72 of 100Reported as group
Quality
95
Improvement activities
40
Cost
39.51

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory J Porter MD Inc Anesthesiology CurrentSince Feb 1, 2008 Accepting new patients
Norcal Anesthesia and Pain Affiliates, Inc. Past Accepting new patients
Tri County Pain Management Center Inc Pain Medicine PastSince Sep 18, 2012 Accepting new patients
Sutter Valley Hospitals Interventional Pain Medicine Past Accepting new patients
Sierra View Medical Eye., Inc PastSince Jan 1, 2006 Accepting new patients
Sierra Nevada Memorial-Miners Hospital Interventional Pain Medicine Past Accepting new patients
Sierra Nevada Anesthesia Medical Associates, Inc. Anesthesiology Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Sierra Nevada Anesthesia Medical Assoc Inc Anesthesiology Past Accepting new patients
Sierra Ambulatory Surgery Center PastSince Oct 25, 2005 Accepting new patients

Locations

400 Sierra College Dr
Ste A
Grass Valley, CA 95945
Phone (530) 272-3411

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

400 Sierra College Dr
Ste B
Grass Valley, CA 95945
Phone (530) 272-3411

210 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 347-1000

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1790741262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25033",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927995033",
            "telephone_number": "800-883-7243",
            "fax_number": "714-347-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SIERRA COLLEGE DR STE B",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455093",
            "telephone_number": "530-272-3428",
            "fax_number": "530-272-3429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 W East Ave",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959267201",
            "country_code": "US",
            "telephone_number": "530-343-4757",
            "fax_number": "530-343-3347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "GREGORY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G72310",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G72310",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G72310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G723100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.