Active NPI
Grace Jean-Pierre, P.A.
- Medical Physician Assistant
- El Segundo, CA
National Provider Identifier
1891866828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA15266
- Practice address
- 2101 Rosecrans Ave # 3230
El Segundo, CA 90245-4749 - Phone
- (323) 628-8671
- NPI assigned
- Nov 13, 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 | PA15266 | CA | Primary |
Addresses
Primary practice location
2101 Rosecrans Ave # 3230
El Segundo, CA 90245-4749
Mailing address
1414 S Grand Ave
Suite 100
Los Angeles, CA 90015-3067
Phone (213) 481-2200
Other practice location 1
1414 S Grand Ave
Suite 100
Los Angeles, CA 90015-3067
Phone (213) 481-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA15266 | Other | CA | STATE LICENSE |
| WPA15266A | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15266 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Medical Center Inc. | Past | Accepting new patients | |
| Ronald Seymour Weaver MD Inc. | Past | Accepting new patients | |
| Ronald Seymour Weaver MD Inc | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1508875824
-
- Specialist
- Los Angeles, CA
- NPI 1730430588
-
- Specialist
- Inglewood, CA
- NPI 1336354315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1891866828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 S GRAND AVE",
"address_2": "SUITE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153067",
"telephone_number": "213-481-2200",
"fax_number": "213-481-7023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 ROSECRANS AVE # 3230",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454749",
"telephone_number": "323-628-8671"
}
],
"practiceLocations": [
{
"address_1": "1414 S Grand Ave",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900153067",
"country_code": "US",
"telephone_number": "213-481-2200",
"fax_number": "213-481-7023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEAN-PIERRE",
"first_name": "GRACE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA15266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA15266",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WPA15266A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.