Active NPI
Yolanda Z Grell, PA
- Medical Physician Assistant
- Compton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA11306
- Practice address
- 1145 E Compton Blvd
Compton, CA 90221-3307 - Phone
- (310) 635-8006
- Fax
- (310) 635-4910
- NPI assigned
- Nov 3, 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA11306 | CA | Primary |
Addresses
Primary practice location
1145 E Compton Blvd
Compton, CA 90221-3307
Mailing address
1145 E Compton Blvd
Compton, CA 90221-3307
Phone (310) 635-8006
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA11306 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verity Medical Foundation | Current | Accepting new patients | |
| De Novo Health Care Inc | Current | Accepting new patients | |
| Serenity Care Health Group | Current | Accepting new patients | |
| Silas J. Thomas, M.D., Inc. | Current | Accepting new patients | |
| The Vidal Womans Medical Clinic Inc. | Past | Accepting new patients |
Locations
1145 E Compton Blvd
Compton, CA 90221
Phone (310) 635-8006
803 E Rosecrans Ave
East Rancho Dominguez, CA 90221
Phone (310) 605-4800
9360 No Name Uno
Ste 125
Gilroy, CA 95020
Phone (408) 846-9444
1930 E Anaheim St
Long Beach, CA 90813
Phone (562) 478-4102
515 S Flower St
Fl 18
Los Angeles, CA 90071
Phone (310) 748-8142
3628 E Imperial Hwy
Ste 408
Lynwood, CA 90262
Phone (310) 554-4127
230 S Main St
Ste 100
Orange, CA 92868
Phone (714) 541-0101
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ygrell660427@direct.ochin.org
- grell.yolanda@denovohcc.directbygreenway.com
Organizations & group practices 5
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.
-
- Community/Behavioral Health Agency
- East Rancho Dominguez, CA
- NPI 1972752368
-
- Federally Qualified Health Center (FQHC)
- Long Beach, CA
- NPI 1245623156
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1326312067
-
- Primary Care Clinic/Center
- Lynwood, CA
- NPI 1992884571
-
- Primary Care Clinic/Center
- Los Angeles, CA
- NPI 1326133687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1790864478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 E COMPTON BLVD",
"city": "COMPTON",
"state": "CA",
"postal_code": "902213307",
"telephone_number": "310-635-8006",
"fax_number": "310-635-4910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 E COMPTON BLVD",
"city": "COMPTON",
"state": "CA",
"postal_code": "902213307",
"telephone_number": "310-635-8006",
"fax_number": "310-635-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRELL",
"first_name": "YOLANDA",
"middle_name": "Z",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA11306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Compton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.