Individual provider Active NPI

Paige Alexandra Grigus

  • Acupuncturist
  • Irvine, CA
National Provider Identifier
1972356681
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC20013 Issued in CA
Practice address
43 Corporate Park Ste 205
Irvine, CA 92606-5180
Phone
(949) 382-1652
NPI assigned
Apr 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC20013 CA Primary

Addresses

Primary practice location

43 Corporate Park Ste 205
Irvine, CA 92606-5180

Mailing address

4521 Campus Dr Ste 386
Irvine, CA 92612-2621
Phone (949) 382-1652

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

LicenseStateTypeSpecialty
AC20013CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Dan Tian Holistic Center Inc Acupuncturist CurrentSince Apr 14, 2024 Accepting new patients

Locations

43 Corporate Park
Ste 205
Irvine, CA 92606
Phone (949) 382-1652

4521 Campus Dr
Irvine, CA 92612
Phone (949) 278-4855

Organizations & group practices 1

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": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1972356681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 CAMPUS DR STE 386",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122621",
            "telephone_number": "949-382-1652",
            "fax_number": "818-617-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CORPORATE PARK STE 205",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926065180",
            "telephone_number": "949-382-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGUS",
        "first_name": "PAIGE",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC20013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.