Lesa Jeanene Grovas, N.P.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95010725 Issued in CA

Practice address

Choc Children'S Hospital of Orange
1201 W. Le Veta Avenue
Orange, CA 92868

Phone

(714) 509-9331

Fax

(402) 955-7405

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1972677409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHOC CHILDREN'S HOSPITAL OF ORANGE",
            "address_2": "1201 W. LE VETA AVENUE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-509-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHOC CHILDREN'S HOSPITAL OF ORANGE",
            "address_2": "1201 W. LE VETA AVENUE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-509-9331",
            "fax_number": "402-955-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVAS",
        "first_name": "LESA",
        "middle_name": "JEANENE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NE",
            "license": "110266",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95010725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578179",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37925",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "218343",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Elizabeth Groh, MD
• Jennifer Elaine Gross, DPT
• John E Gross, MD
• Marcus Lydell Gross
• William Steven Gross, D.M.D.
• Kyra Grove
• Kenneth E Grubbs, D.O.
• Tessa Jillian Gruen, MD
• Emily Gruhn
• Robert Carlyle Grumet, M.D.

• Pediatric Nurse Practitioner in Orange, CA
• Providers in Orange, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.