Healthcare Provider Details

I. General information

NPI: 1659342624
Provider Name (Legal Business Name): FRANK TRIESTE GRASSI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 FROST ST
SAN DIEGO CA
92123-2701
US

IV. Provider business mailing address

8555 AERO DR STE 104
SAN DIEGO CA
92123-1744
US

V. Phone/Fax

Practice location:
  • Phone: 858-939-3411
  • Fax:
Mailing address:
  • Phone: 858-650-5036
  • Fax: 858-650-5039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberC52598
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: