Active NPI
Oksana Grozav
- Assisted Living Facility
- Orangevale, CA
National Provider Identifier
1952867053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 342700393
- Practice address
- 6916 Drywood Way
Orangevale, CA 95662-2912 - Phone
- (916) 726-9581
- NPI assigned
- Feb 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 342700393 | CA | Primary |
Addresses
Primary practice location
6916 Drywood Way
Orangevale, CA 95662-2912
Mailing address
6916 Drywood Way
Orangevale, CA 95662-2912
Phone (916) 726-9581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 342700393 | CA | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1952867053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6916 DRYWOOD WAY",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956622912",
"telephone_number": "916-726-9581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6916 DRYWOOD WAY",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956622912",
"telephone_number": "916-726-9581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROZAV",
"first_name": "OKSANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-13",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "342700393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangevale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.