MRS. ELIZABETH ANN GRIVETT (NPI# 1295777068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295777068 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH ANN GRIVETT |
| Credential | PA-C |
| Practice Address |
360 San Miguel Dr Suite 501 Newport Beach CA 92660-7853 |
| Practice Telephone | 9496441025 |
| Practice Fax Number | 9497194930 |
| Mailing Telephone | 9496441025 |
| Mailing Fax Number | 9497194930 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA13761 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PERFORMING PHYSICIAN ID# | WPA13761C | 01 |
| Street Address |
360 SAN MIGUEL DR SUITE 501 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-7853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093311 | Cory Lynne Brame | Ophthalmology | 360 San Miguel Dr, Ste 307, Newport Beach, CA 92660-7829 | 2005-06-20 |
| 1740674415 | Ewelina Szymanowicz | Nurse Practitioner | 360 San Miguel Dr, Suite 309, Newport Beach, CA 92660-7853 | 2015-03-20 |
| 1215341730 | Matthew James Belmont | Physician Assistant | 360 San Miguel Dr, Suite 107, Newport Beach, CA 92660-7853 | 2014-06-12 |
| 1336575257 | Sheets, Paquette & Wu Dental Practice | Clinic/Center | 360 San Miguel Dr, Suite 204, Newport Beach, CA 92660-7853 | 2013-09-24 |
| 1528301710 | Scott K. Forman M.d. Professional Corporation | Orthopaedic Surgery | 360 San Miguel Dr, #701, Newport Beach, CA 92660-7853 | 2013-04-05 |
| 1932444395 | Jennifer June Rhoton | Nurse Practitioner | 360 San Miguel Dr, Suite 107, Newport Beach, CA 92660-7853 | 2012-12-11 |
| 1568717122 | Jean Chin Wu | Dentist | 360 San Miguel Dr, #204, Newport Beach, CA 92660 | 2012-07-19 |
| 1326334202 | Riviera Medical Corporation | Non-Pharmacy Dispensing Site | 360 San Miguel Dr, Suite 107, Newport Beach, CA 92660-7853 | 2011-06-20 |
| 1700188174 | Edward G. Rohaly,m.d. Inc. | Clinic/Center | 360 San Miguel Dr, Suite 309, Newport Beach, CA 92660-7829 | 2010-11-17 |
| 1093024739 | Chalinee Jill Intarachote | Physical Medicine & Rehabilitation | 360 San Miguel Dr, 301, Newport Beach, CA 92660-7853 | 2010-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851815104 | Danielle Stark | Physician Assistant | 500 Superior Ave Ste 335, Newport Beach, CA 92663-3657 | 2017-07-28 |
| 1083024053 | Amy Heather Anfuso | Physician Assistant | 1441 Avocado Ave #306, Newport Beach, CA 92660 | 2014-04-30 |
| 1942634753 | Anne Marie Burkel | Physician Assistant | 1525 Superior Ave Ste 200, Newport Beach, CA 92663-3639 | 2013-08-28 |
| 1225389117 | Lisa M Andersen | Physician Assistant | 1441 Avacado Ave, 503, Newport Beach, CA 92660-7706 | 2012-10-02 |
| 1902879216 | Renee Fabrizi | Physician Assistant | 450 Newport Center Dr, Suite 650, Newport Beach, CA 92660-7610 | 2006-02-08 |
| 1902800543 | Southern California Spine and Sport Medical Associates, Inc | Physician Assistant | 450 Newport Center Drive, Suite 650, Newport Beach, CA 92660-7641 | 2005-06-10 |
| 1962887703 | Sarah Victoria Standel | Physician Assistant | 1401 Avocado Ave, Suite 703, Newport Beach, CA 92660-7720 | 2015-07-22 |
| 1083020606 | Li Si Zeng | Physician Assistant | 520 Superior Ave, Suite 270, Newport Beach, CA 92663-3637 | 2014-07-02 |
| 1215341730 | Matthew James Belmont | Physician Assistant | 360 San Miguel Dr, Suite 107, Newport Beach, CA 92660-7853 | 2014-06-12 |
| 1952734048 | Karen Hendrickx | Physician Assistant | 320 Superior Ave, Suite 210, Newport Beach, CA 92663-2716 | 2013-08-13 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on MRS. ELIZABETH ANN GRIVETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.