Individual provider Active NPI

Alexander Stephen Grohmann

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1922532720
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A158886 Issued in CA
Practice address
757 Westwood PLZ Ste 1517
Los Angeles, CA 90095-3828
Phone
(310) 825-9111
NPI assigned
Apr 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036156227 IL
Emergency Medicine Physician 207P00000X 036156227 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A158886 CA
Emergency Medicine Physician 207P00000X A158886 CA Primary

Addresses

Primary practice location

757 Westwood PLZ Ste 1517
Los Angeles, CA 90095-3828

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

1000 W Carson St
Building D-9 (Box 21) Torrance, Cal
Torrance, CA 90502-2004
Phone (310) 222-3501

Other practice location 2

1250 16th St
Santa Monica, CA 90404-1249
Phone (310) 794-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200128000249 CA Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists) 7719312487 Reassigns benefits to 3 organizations
I20220713003438 IL Practitioner - Emergency MedicinePractitioner - Critical Care (Intensivists) 7719312487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
93.25
Promoting interoperability
100
Improvement activities
40
Cost
79.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036156227ILMDEmergency Medicine Physician
A158886CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Golden State Emergency Physicians Inc Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Av Critical Care Inc Critical Care Medicine CurrentSince Aug 1, 2023 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Regents of the Univ of Ca Emer Med Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Rush University Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Rush University Medical Center Emergency Medicine Past Accepting new patients
UCLA Medical Group Emergency Medicine Past Accepting new patients

Locations

44215 15th St W
Ste 105
Lancaster, CA 93534
Phone (661) 948-8000

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

44215 15th St W
Ste 115
Lancaster, CA 93534
Phone (661) 948-8000

File 55675
Los Angeles, CA 90074

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

757 Westwood Plz
Ste 1517
Los Angeles, CA 90095
Phone (310) 794-0599

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

Interoperability endpoints

  • Direct secure messaging: agrohmann1190326@direct.uclahealth.org
  • Direct secure messaging: agrohmann169622@direct.luhs.org

Organizations & group practices 8

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1922532720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ STE 1517",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953828",
            "telephone_number": "310-825-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Carson St",
            "address_2": "Building D-9 (Box 21) Torrance, Cal",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "310-222-3501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 16th St",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041249",
            "country_code": "US",
            "telephone_number": "310-794-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROHMANN",
        "first_name": "ALEXANDER",
        "middle_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036156227",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036156227",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A158886",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A158886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.