NPIMap

Individual provider Active NPI

Stephen Michael Grossman, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Fresno, CA
National Provider Identifier
1942220926
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
G64749 Issued in CA
Practice address
685 W Alluvial Ave Ste 103
Fresno, CA 93711-5779
Phone
(559) 499-1233
Fax
(559) 499-1232
NPI assigned
Jul 20, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X G64749 CA Primary

Addresses

Primary practice location

685 W Alluvial Ave Ste 103
Fresno, CA 93711-5779

Mailing address

685 W Alluvial Ave Ste 103
Fresno, CA 93711-5779
Phone (559) 499-1233

Other practice location 1

3115 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 600-2382

Other identifiers 1

IdentifierTypeStateIssuer
00G647490MedicaidCA

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
I20120314000744 CA Practitioner - Internal Medicine 4183521131 Reassigns benefits to 2 organizations
Practice locations: Fresno, CA; Hanford, CA; Madera, CA; Visalia, CA; Atascadero, CA; Clovis, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Long Term Care Medical Group, IncGroup PAC ID 9032016068, 37 clinicians

Practice addresses (Care Compare)

925 N Cornelia Ave
Fresno, CA 93706-1031
Phone (559) 275-4785

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Star Behavioral Health, Inc. CurrentSince Jan 28, 2024 Accepting new patients
Central Star Behavioral Health, Inc. Current Accepting new patients
Central Star Behavioral Health, Inc. CurrentSince Jan 28, 2024 Accepting new patients
Armen H Bedrosian MD Inc PastSince Jul 7, 2012 Accepting new patients
Kings Healthcare & Wellness Center LP PastSince Oct 27, 2021 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Wilshire Health and Community Services, Inc. PastSince Jul 1, 2008 Accepting new patients
North Point Healthcare & Wellness Centre, LP PastSince Feb 4, 2018 Accepting new patients
Hy-Pana House Care Center, Inc. PastSince Aug 1, 2002 Accepting new patients
Delta Healthcare & Wellness Center LP PastSince Jun 1, 2025 Accepting new patients

Locations

2934 N Fresno St
Fresno, CA 93703
Phone (559) 549-6697

496 S Barton Ave
Fresno, CA 93702
Phone 5595584051 ext. 241

Interoperability endpoints

  • Direct secure messaging: sgrossman@b34152f0.micromddirect.com

Ownership & related parties

All facility ownership & control disclosures 18

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Subacute and Transitional Care CenterFresno, CA, CCN 055258 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 19, 2016
Dec 19, 2016
San Luis Transitional CareSan Luis Obispo, CA, CCN 555592 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2022
Nov 19, 2025
Linwood Meadows Care CenterVisalia, CA, CCN 555125 Skilled nursing facility Contracted Managing Employee Jan 15, 2014
Westgate Gardens Care CenterVisalia, CA, CCN 555208 Skilled nursing facility Contracted Managing Employee Jan 1, 2010
Oakwood Gardens Care CenterFresno, CA, CCN 055204 Skilled nursing facility Contracted Managing Employee Jun 1, 2002
The Terraces at San Joaquin Gardens VillageFresno, CA, CCN 055846 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 1998
Dec 1, 1998
Lindsay Gardens Nursing & RehabilitationLindsay, CA, CCN 555663 Skilled nursing facility Contracted Managing Employee Jan 1, 2024
Rockport Healthcare ServicesFresno, CA, CCN 555179 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 4, 2018
Feb 1, 2018
Hanford Post AcuteHanford, CA, CCN 056288 Skilled nursing facility Contracted Managing Employee Jan 2, 2015
Orchard Post AcuteFresno, CA, CCN 056225 Skilled nursing facility Contracted Managing Employee Jan 15, 2020
Rockport Healthcare ServicesHanford, CA, CCN 555485 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 27, 2021
Oct 27, 2021
Rockport Healthcare ServicesVisalia, CA, CCN 555354 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2025
Jun 1, 2025
Foundation Skilled NursingFresno, CA, CCN 056281 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 9, 2022
Mar 9, 2022
Vineyard Care CenterReedley, CA, CCN 055799 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
Jan 1, 2023
Morning Star Post AcuteClovis, CA, CCN 056338 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2014
Jul 1, 2014
Cornerstone Care CenterSanger, CA, CCN 056100 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
Jan 1, 2023
Majestic Mountain Care CenterOakhurst, CA, CCN 555115 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 30, 2023
Jan 30, 2023
Stonehaven Senior LivingFresno, CA, CCN 555935 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2025
Feb 1, 2025

Owned or controlled facilities with NPI records 18

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 18

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1942220926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 W ALLUVIAL AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115779",
            "telephone_number": "559-499-1233",
            "fax_number": "559-499-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 W ALLUVIAL AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115779",
            "telephone_number": "559-499-1233",
            "fax_number": "559-499-1232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031425",
            "country_code": "US",
            "telephone_number": "559-600-2382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSSMAN",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G64749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G647490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.