Individual provider · Type 1 NPI

Michael T. Grammas, PA

Independent Duty Corpsman · Newport Beach, CA

NPI number 1497345904 Active

Practice location

20072 SW Birch St Ste 190
Newport Beach, CA 92660-0799

Mailing address

27762 Antonio Pkwy L1 #325
Ladera Ranch, CA 92694

Specialties and licenses

TaxonomyCodeLicense
Paramedic 146L00000X152871 (CA)
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X152871 (CA)
Physician Assistant 363A00000XNone listed
Independent Duty Corpsman Primary 1710I1002XNone listed

Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…

3 other providers at this address

About NPI 1497345904

Michael T. Grammas, PA's National Provider Identifier is 1497345904, issued on Jan 20, 2021. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Newport Beach, CA. The record was last updated on Feb 11, 2025.