Individual provider Active NPI

John Frank Grauch V, M.D.

  • Anesthesiology Physician
  • Simi Valley, CA
National Provider Identifier
1982845145
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A109514 Issued in CA
Practice address
2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone
(626) 696-1134
NPI assigned
Mar 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X A109514 CA Primary

Addresses

Primary practice location

2975 Sycamore Dr
Simi Valley, CA 93065-1201

Mailing address

PO Box 60790
Pasadena, CA 91116-6790
Phone (626) 696-1134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120906000354 CA Practitioner - Anesthesiology 2062669542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Colorado School of Medicine, Denver, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

696 Hampshire Rd
Suite 100
Westlake Village, CA 91361-4456
Phone (805) 413-7920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
John F Grauch MD a Professional Corporation Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Simi Valley Anesthesia Medical Group Anesthesiology CurrentSince Jul 15, 2012 Accepting new patients
Regents of the University of California Anesthesiology Past Accepting new patients
The Regents of the University of California Past Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

757 Westwood Plz
Ste 3325
Los Angeles, CA 90095
Phone (310) 267-8626

1920 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 306-8800

2750 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 955-6000

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

550 Saint Charles Dr
Ste 101
Thousand Oaks, CA 91360
Phone (805) 557-7050

696 Hampshire Rd
Ste 100
Westlake Vlg, CA 91361
Phone (805) 413-7920

Organizations & group practices 5

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": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1982845145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60790",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911166790",
            "telephone_number": "626-696-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 SYCAMORE DR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651201",
            "telephone_number": "626-696-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUCH",
        "first_name": "JOHN",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-18",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A109514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.