Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alison Lynn Gracom, PA

Individual provider Medical Physician Assistant · NPI 1245496843

Alison Lynn Gracom, PA is a Physician Assistant in Irvine, California. Qualified in 2005, 21 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Years since qualifying
21
Licensed in
CA, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4902 Irvine Center Dr Ste 103
Irvine, CA 92604-3334
Phone: (949) 861-4177
Fax: (949) 861-4178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA20929 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 010754 (NY)

Record details

NPI number1245496843
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 3, 2008
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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