Physician Compare National (NPI:1760740385)

HEALTHCARE PROVIDER: LEAH M GRABENAUER MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1760740385
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7810124070
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200211002940
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GRABENAUER
	Individual professional last name
Provider First Name	LEAH
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HOSPITALIST MEDICINE PHYSICIANS OF CALIFORNIA INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8426062027
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	99
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	79 -1019 HAUKAPILA ST
	Group Practice or individual's line 1 address
City	KEALAKEKUA
	Group Practice or individual's city
State	HI
	Group Practice or individual's state
Zip Code	967507920
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8083229311
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050013
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ADVENTIST HEALTH ST HELENA
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	120019
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KONA COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050030
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OROVILLE HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y