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MR. WESLEY GRETAH PA
NPI 1720528318
Physician Assistant - Surgical in Los Angeles, CA

Active since March 01, 2017PECOS Enrolled
4650 W SUNSET BLVD, MS #69, LOS ANGELES, CA 90027(323) 361-6005 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Wesley Gretah Pa NPPES

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

MR. WESLEY GRETAH PA (NPI 1720528318) is an individual surgical provider in Los Angeles, California and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720528318
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. WESLEY GRETAHCredential: PA
Location Address4650 W SUNSET BLVD, MS #69Los Angeles, CA 90027-6062
Mailing Address4650 W Sunset Blvd, Ms# 69Los Angeles, CA 90027-6062 · (323) 361-6005
Phone(323) 361-6005
Sole ProprietorNo
Enumeration DateMarch 1, 2017
Last NPPES UpdateMarch 6, 2017
✔ NPI 1720528318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
4650 W SUNSET BLVD, Los Angeles, CA 90027
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Wesley Gretah Pa 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.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Brittany ***** March 17, 2025

5/5
Wesley Gretah PA provides great pediatric care. Knowledgeable and friendly, he’s respectful of your time and sincere with the kids.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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.

DR. MARK HENDRIK CORDEN M.D.
Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-8893
MS. ROBERTA MIYEKO KATO MD
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2101
CHILDREN'S HOSPITAL LOS ANGELES
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3644
JESSICA ELIZABETH GREIM DPT, PT
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (310) 361-2118
MOLLY CEVASCO PH.D., BCBA
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3849
GINNY KIM THAN NP
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3033
DOUGLAS SHAPIRO MD
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 660-2450
ALEXANDRA LYNN JOSTES MD
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2122

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 Wesley Gretah's NPI number?

The NPI number for Wesley Gretah is 1720528318. It was assigned to this individual provider in the NPPES registry on March 1, 2017.

Where is Wesley Gretah located?

Wesley Gretah practices at 4650 W Sunset Blvd Ms #69, Los Angeles, CA 90027. The listed phone number is (323) 361-6005.

What is Wesley Gretah's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Wesley Gretah enrolled in Medicare?

Yes. Wesley Gretah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wesley Gretah was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.