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GROSSMAN MEDICAL REJUVENATION INC
NPI 1063260248
Family Medicine in Newport Beach, CA

Active since May 11, 2024
4440 VON KARMAN AVE STE 202, NEWPORT BEACH, CA 92660(877) 258-6331(718) 362-1651 Get Directions Write a Review

NPPES record last updated: May 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grossman Medical Rejuvenation Inc NPPES

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

GROSSMAN MEDICAL REJUVENATION INC (NPI 1063260248) is a healthcare organization registered as a family medicine in Newport Beach, California and active in the NPI registry since May 2024. The organization lists Michael Grossman, Owner, as its authorized official.

NPPES Registry Identity

NPI1063260248
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGROSSMAN MEDICAL REJUVENATION INC
Location Address4440 VON KARMAN AVE STE 202Newport Beach, CA 92660-2011
Mailing Address612 Corporate Way Ste 2mValley Cottage, NY 10989-2027 · (877) 258-6331 · Fax (718) 362-1651
Phone(877) 258-6331
Fax(718) 362-1651
Organization SubpartNo
Authorized OfficialMichael GrossmanOwner · (877) 258-6331
Enumeration DateMay 11, 2024
NPPES CertifiedMay 11, 2024
✔ NPI 1063260248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4440 VON KARMAN AVE STE 202, Newport Beach, CA 92660
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grossman Medical Rejuvenation Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Grossman Medical Rejuvenation Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Alana Swift, NP
Nurse Practitioner
NPI 1497399430
13235 CAROLYN ST
Cerritos, CA 90703
(562) 965-7997
✔ PECOS✔ Accepts Medicare18 mi
Dawn Mcclure, NURSE PRACTITIONER
Nurse Practitioner
NPI 1023704434
8470 CARSON PL UNIT 30
Rancho Cucamonga, CA 91730
(314) 440-8502
✔ PECOS✔ Accepts Medicare33 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Grossman Medical Rejuvenation Inc's NPI number?

The NPI number for Grossman Medical Rejuvenation Inc is 1063260248. It was assigned to this organization in the NPPES registry on May 11, 2024.

Where is Grossman Medical Rejuvenation Inc located?

Grossman Medical Rejuvenation Inc is located at 4440 Von Karman Ave Ste 202, Newport Beach, CA 92660. The listed phone number is (877) 258-6331.

What is Grossman Medical Rejuvenation Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Grossman Medical Rejuvenation Inc enrolled in Medicare?

Yes. Grossman Medical Rejuvenation Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grossman Medical Rejuvenation Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Grossman Medical Rejuvenation Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Grossman Medical Rejuvenation Inc was last updated on May 11, 2024. 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.