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KRISTA GRIMM M.D.
NPI 1093944571
Pediatrics in El Segundo, CA

Active since July 06, 2009PECOS Enrolled
483 N AVIATION BLVD BLDG 210, 61 MDS/SGOC, EL SEGUNDO, CA 90245(310) 653-2873 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Krista Grimm M.d. NPPES

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

KRISTA GRIMM M.D. (NPI 1093944571) is an individual pediatrics provider in El Segundo, California, licensed in California (A102892) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093944571
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKRISTA GRIMMCredential: M.D.
Location Address483 N AVIATION BLVD BLDG 210, 61 MDS/SGOCEl Segundo, CA 90245-2808
Mailing Address300 Old River Rd, Suite 125Bakersfield, CA 93311-9503
Phone(310) 653-2873
Sole ProprietorYes
Enumeration DateJuly 6, 2009
Last NPPES UpdateNovember 4, 2021
NPPES CertifiedNovember 4, 2021
✔ NPI 1093944571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A102892
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
483 N AVIATION BLVD BLDG 210, El Segundo, CA 90245
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krista Grimm M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Krista Grimm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
3.4 mi
Health Maintenance Organization
2700 W 120TH ST
Hawthorne, CA 90250
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1164914115 (877) 608-0044

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90245 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

WANDER STENIO SEGURA M.D
Psychiatry & Neurology (Psychiatry)
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6679
XRYSTINA DANETTE NIMS
Pharmacist
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6547
JEAN MACLY SAINT-SIMON ARNP
Nurse Practitioner (Family)
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6679
ZACHARIAH S SMITH DO
Family Medicine
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-2873
ELIZABETH IDROGO
Physician Assistant
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6717
JENNEVA BARRETT LCSW
Social Worker (Clinical)
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6860
KAYSEE LYNN ISHMAN
Dentist
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-6679
MR. JOSEPH ANDREW BURROW I PHYSICIAN ASSISTANT
Physician Assistant
483 N AVIATION BLVD BLDG 210
EL SEGUNDO, CA 90245
Los Angeles County (310) 653-2890

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 Krista Grimm's NPI number?

The NPI number for Krista Grimm is 1093944571. It was assigned to this individual provider in the NPPES registry on July 6, 2009.

Where is Krista Grimm located?

Krista Grimm practices at 483 N Aviation Blvd Bldg 210 61 Mds/Sgoc, El Segundo, CA 90245. The listed phone number is (310) 653-2873.

What is Krista Grimm's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Krista Grimm enrolled in Medicare?

Yes. Krista Grimm is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Krista Grimm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krista Grimm reassigns Medicare benefits to Southern California Permanente Medical Group (Hawthorne, CA). The 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 Krista Grimm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Krista Grimm was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.