Active NPI
Jennifer L Gruenenfelder, M.D.
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- Newport Beach, CA
National Provider Identifier
1922063627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- License
- A79544
- Practice address
- 510 Superior Ave Ste 200F
Newport Beach, CA 92663-3664 - Phone
- (949) 999-8979
- Fax
- (949) 999-8970
- NPI assigned
- Apr 18, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | M-15918 | ID | |
| Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician | 2088F0040X | A79544 | CA | Primary |
Addresses
Primary practice location
510 Superior Ave Ste 200F
Newport Beach, CA 92663-3664
Mailing address
510 Superior Ave Ste 200F
Newport Beach, CA 92663-3664
Phone (949) 999-8979
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Columbia University College of Physicians and Surgeons, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
190 E Bannock St
Boise, ID 83712-6241
Hospital & facility affiliations
- Uci Health-Orange
- St Luke'S Regional Medical Center
- Hoag Memorial Hospital Presbyterian
- Providence Mission Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 81.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-15918 | ID | MD | Urology Physician |
| A79544 | CA | MD | Female Pelvic Medicine and Reconstructive Surgery (Urology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Urology | Current | Accepting new patients |
| University of California Irvine | Past | Accepting new patients |
Locations
1640 Newport Blvd
Ste 100
Costa Mesa, CA 92627
Phone (949) 478-8000
19200 Jamboree Rd
Ste 5100
Irvine, CA 92612
Phone (888) 268-1108
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
200 S Manchester Ave
Ste 600
Orange, CA 92868
Phone (714) 456-2911
190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
510 N 2nd St
Ste 103
Boise, ID 83702
Phone (208) 381-4700
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.
-
- Obstetrics & Gynecology Physician
- Orange, CA
- NPI 1356304034
-
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1922063627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 SUPERIOR AVE STE 200F",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633664",
"telephone_number": "949-999-8979",
"fax_number": "949-999-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SUPERIOR AVE STE 200F",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633664",
"telephone_number": "949-999-8979",
"fax_number": "949-999-8970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUENENFELDER",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "ID",
"license": "M-15918",
"primary": false
},
{
"code": "2088F0040X",
"taxonomy_group": "",
"desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "CA",
"license": "A79544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.