Active NPI
Grabow Medical Group
- Pain Medicine (Anesthesiology) Physician
- Santa Ana, CA
National Provider Identifier
1942506530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- G66481
- Legal business name
- GRABOW MEDICAL GROUP
- Practice address
- 400 N Tustin Ave
Suite 470
Santa Ana, CA 92705-3813 - Phone
- (714) 242-4224
- Fax
- (714) 380-6300
- NPI assigned
- Jan 31, 2011
- Last updated
- Jul 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Kim Cao
- Title
- Practice Manager
- Phone
- (714) 242-4224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | G66481 | CA | Primary |
Addresses
Primary practice location
400 N Tustin Ave
Suite 470
Santa Ana, CA 92705-3813
Mailing address
Dept la 23881
Pasadena, CA 91185-0001
Phone (714) 242-4224
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 616223700 SANTA ANA | Other | CA | US DEPARTMENT OF LABOR PROVIDER # |
| G66481 | Other | CA | MEDICAL LICENSE |
| 1629089529 | Other | CA | PHYSICIAN'S NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2013944 | Grabow Medical Group, Inc. | Certificate of waiver | Sep 27, 2026 |
National Provider Directory
National Provider DirectoryLocations
Dept LA 23881
Pasadena, CA 91185
400 N Tustin Ave
Ste 470
Santa Ana, CA 92705
Phone (714) 242-4224
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine (Anesthesiology) Physician
- Santa Ana, CA
- NPI 1629089529
-
- Pain Medicine (Anesthesiology) Physician
- Santa Ana, CA
- NPI 1174630453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343260800000",
"number": "1942506530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT LA 23881",
"city": "PASADENA",
"state": "CA",
"postal_code": "911850001",
"telephone_number": "714-242-4224",
"fax_number": "714-380-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N TUSTIN AVE",
"address_2": "SUITE 470",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053813",
"telephone_number": "714-242-4224",
"fax_number": "714-380-6300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRABOW MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-31",
"last_updated": "2012-07-26",
"status": "A",
"authorized_official_last_name": "CAO",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "714-242-4224",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "G66481",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPARTMENT OF LABOR PROVIDER #",
"identifier": "616223700 SANTA ANA",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G66481",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN'S NPI",
"identifier": "1629089529",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
- Got Personal Care LLC (Interim Healthcare Westminster)
- Got Sleep Inc (Renaissance Sleep Center of OC)
- Sara M. Gottschalk
- Gabriel W Gough
- Max Gouron, MD
- Kenneth R Grabow, MD
- Grace in Growth Physical Therapy Professional Corporation
- Grace Liu MD Inc (Newport Coast Dermatology)
- Deisy Melissa Gracia
- Ivette Gracia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.