MS. AVITAL R GRAVANIS PA-C
NPI 1013685932
Physician Assistant in Los Angeles, CA

Active since September 03, 2021PECOS EnrolledAccepts Medicare Assignment
93.79/100
CMS Quality Rating
127 S SAN VICENTE BLVD # A-6600, LOS ANGELES, CA 90048(310) 423-7900(424) 315-4571 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, Sep 17, 2021 (2 updates tracked since 2021).

About Ms. Avital R Gravanis Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. AVITAL R GRAVANIS PA-C (NPI 1013685932) is an individual physician assistant in Los Angeles, California, licensed in California (PA60692) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013685932
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. AVITAL R GRAVANISCredential: PA-C
Location Address127 S SAN VICENTE BLVD # A-6600Los Angeles, CA 90048-3311
Mailing Address4140 W 190th StTorrance, CA 90504-5513 · (310) 423-7900 · Fax (424) 315-4571
Fax(424) 315-4571
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 3, 2021
Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
NPI 1013685932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA60692
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 60692 (CA)
127 S SAN VICENTE BLVD # A-6600, Los Angeles, CA 90048

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Avital R Gravanis Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385027416
PECOS Enrollment IDI20220822003491
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.58
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
127 S SAN VICENTE BLVD # A-6600
LOS ANGELES, CA 90048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avital Gravanis's NPI number?

The NPI number for Avital Gravanis is 1013685932. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Where is Avital Gravanis located?

Avital Gravanis practices at 127 S San Vicente Blvd # A-6600, Los Angeles, CA 90048. The listed phone number is (310) 423-7900.

What is Avital Gravanis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Avital Gravanis enrolled in Medicare?

Yes. Avital Gravanis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Avital Gravanis was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.