MEGAN DIANE GROSSMAN PA
NPI 1376027235
Physician Assistant in Camarillo, CA

Active since September 18, 2018PECOS EnrolledAccepts Medicare Assignment
2438 N PONDEROSA DR STE C105, CAMARILLO, CA 93010(805) 388-2068(805) 484-7700 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 17, 2020, Apr 13, 2020, Mar 12, 2019 and 3 more (6 updates tracked since 2018).

About Megan Diane Grossman Pa NPPES

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

MEGAN DIANE GROSSMAN PA (NPI 1376027235) is an individual physician assistant in Camarillo, California, licensed in California (PA55954) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1376027235
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMEGAN DIANE GROSSMANCredential: PA
Location Address2438 N PONDEROSA DR STE C105Camarillo, CA 93010-2465
Mailing Address1125 E Broadway, Box 71Glendale, CA 91205-1315 · (818) 790-1088 · Fax (818) 790-1778
Fax(805) 484-7700
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 18, 2018
Last NPPES UpdateJuly 25, 20256 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
NPI 1376027235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA55954
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.

2438 N PONDEROSA DR STE C105, Camarillo, CA 93010

Secondary Practice Locations 2

Location 1425 Haaland Dr Ste 204Thousand Oaks, CA 91361-5231 · Phone (805) 497-8080 · Fax (805) 497-8806
Location 21818 Verdugo Blvd Ste 200Glendale, CA 91208-1408 · Phone (818) 790-1088 · Fax (818) 790-1778

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

Megan Diane Grossman Pa 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 ID446599674
PECOS Enrollment IDI20190305001649
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 93010 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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.

Other Providers at the Same Location NPPES 3

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

Dermatology
2438 N PONDEROSA DR STE C105
CAMARILLO, CA 93010
Dermatology
2438 N PONDEROSA DR STE C105
CAMARILLO, CA 93010
Nurse Practitioner
2438 N PONDEROSA DR STE C105
CAMARILLO, CA 93010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376027235, enumerated as an "individual" on September 18, 2018.

The provider is located at 2438 N PONDEROSA DR STE C105 CAMARILLO, CA 93010 and the phone number is (805) 388-2068.

Physician Assistant with taxonomy code 363A00000X.