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DEAN SCOTT GRIBBONS
NPI 1366024028
Student in an Organized Health Care Education/Training Program in Tarzana, CA

Active since April 22, 2021PECOS Enrolled
18646 OXNARD ST, TARZANA, CA 91356(310) 597-9434 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2022, Apr 22, 2021 (2 updates tracked since 2021).

About Dean Scott Gribbons NPPES

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

DEAN SCOTT GRIBBONS (NPI 1366024028) is an individual student in an organized health care education/training program in Tarzana, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1366024028
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEAN SCOTT GRIBBONS
Location Address18646 OXNARD STTarzana, CA 91356-1486
Mailing Address18646 Oxnard StTarzana, CA 91356-1411 · (888) 777-8565
Phone(310) 597-9434
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 22, 2021
Last NPPES UpdateMarch 11, 20222 updates tracked since enumeration
NPPES CertifiedMarch 11, 2022
✔ NPI 1366024028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
18646 OXNARD ST, Tarzana, CA 91356
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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)

Dean Scott Gribbons is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850863846
PECOS Enrollment IDI20260610002399
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 Dean Gribbons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
292 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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

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.

DEANNA KATHERINE MALEC RN
Registered Nurse (Case Management)
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 996-1051
NICOLE MARIAN JOHNSTONE RADT
Counselor (Addiction (Substance Use Disorder))
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 654-3950
ARTURO VARGAS
Peer Specialist
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 996-1051
DAVID JEROME FISCHER
Peer Specialist
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 996-1051
GREGORY PAUL WALSH
Counselor (Addiction (Substance Use Disorder))
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (818) 996-1051
DAVID HEISERMAN
Counselor (Addiction (Substance Use Disorder))
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (747) 224-0384
JOSHUA KELLY
Student in an Organized Health Care Education/Training Program
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (859) 779-2349
SHAWNA ROSE GLUCK
Peer Specialist
18646 OXNARD ST
TARZANA, CA 91356
Los Angeles County (181) 899-6105

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 Dean Gribbons's NPI number?

The NPI number for Dean Gribbons is 1366024028. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Dean Gribbons located?

Dean Gribbons practices at 18646 Oxnard St, Tarzana, CA 91356. The listed phone number is (310) 597-9434.

What is Dean Gribbons's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dean Gribbons enrolled in Medicare?

Yes. Dean Gribbons is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dean Gribbons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dean Gribbons reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Dean Gribbons'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 Dean Gribbons was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.