Angela Gale Groverman, PA-C
Physician Assistant in Jackson, CA. Individual provider (NPI-1).
NPI number1720084585
StatusActive
Last updated in NPPESMay 28, 2008
Details
- NPI
- 1720084585
- Entity type
- Individual (NPI-1)
- Name
- Angela Gale Groverman
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2005
- Last updated
- May 28, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA15037 | CA | Yes |
Other names
- Angela Gale Foster (Other Name)
Practice location
12140 New York Ranch RdJackson, CA 95642-9407
Phone 209-257-2400 · Fax 209-257-2403
Mailing address
Po Box 939Angels Camp, CA 95222-0939
Phone 209-754-6262 · Fax 866-205-8079
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Jackson, CA
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- Terry F. Lindsey, P.A.NPI 1952414591
- Courtney Parker, PA-CNPI 1295583532
- Marissa Lee Proverbs, PA-CNPI 1043037849
- Toni Lee Vaught, PA-CNPI 1912702630
- Michelle Ann Wong, PA-CNPI 1336525609
All 8 Physician Assistant providers in Jackson · All 394 providers in Jackson
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