Organization Active NPI

Grabow Medical Group

  • Pain Medicine (Anesthesiology) Physician
  • Santa Ana, CA
National Provider Identifier
1942506530
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G66481 Issued in CA
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
616223700 SANTA ANAOtherCAUS DEPARTMENT OF LABOR PROVIDER #
G66481OtherCAMEDICAL LICENSE
1629089529OtherCAPHYSICIAN'S NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110519000498 CA Part B Supplier - Clinic/Group Practice 9931385325 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Ana, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2013944Grabow Medical Group, Inc.400 N Tustin Ste 470, Santa Ana, CA 92705Certificate of waiverSep 27, 2026

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.