Active NPI
Justin N Grammy, DO
- Hospitalist Physician
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 16620
- Practice address
- 1428 Phillips LN Ste 203
San Luis Obispo, CA 93401-2551 - Phone
- (805) 543-4407
- Fax
- (805) 543-4587
- NPI assigned
- Jun 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS018634 | PA | |
| Internal Medicine Physician | 207R00000X | 16620 | CA | |
| Hospitalist Physician | 208M00000X | 16620 | CA | Primary |
Addresses
Primary practice location
1428 Phillips LN Ste 203
San Luis Obispo, CA 93401-2551
Mailing address
PO Box 12460
San Luis Obispo, CA 93406-2460
Phone (805) 543-4407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Murray Ave
San Luis Obispo, CA 93405-1806
Phone (805) 543-4407
1428 Phillips LN
Suite 203
San Luis Obispo, CA 93401-2551
Phone (805) 543-4407
1911 Johnson Ave
San Luis Obispo, CA 93401-4131
Phone (805) 543-4407
Hospital & facility affiliations
- French Hospital Medical Center
- Adventist Health Sierra Vista
- Adventist Health Twin Cities
- Marian Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16620 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Intensivists PC | Current | Accepting new patients | |
| Barton Medical Foundation | Current | Accepting new patients | |
| Cep America - Intensivists PC | Current | Accepting new patients | |
| Central Coast Chest Consultants a Medical Corporation | Internal Medicine | Current | Accepting new patients |
| Cep America - Intensivists PC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000
1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1428 Phillips Ln
Ste 203
Sn Luis Obisp, CA 93401
Phone (805) 439-1797
2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420
2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- San Luis Obispo, CA
- NPI 1740267574
-
- Family Medicine Physician
- South Lake Tahoe, CA
- NPI 1750950499
-
- Critical Care Medicine (Internal Medicine) Physician
- Escondido, CA
- NPI 1407234057
-
- Critical Care Medicine (Internal Medicine) Physician
- Oceanside, CA
- NPI 1588383111
-
- Critical Care Medicine (Internal Medicine) Physician
- Germantown, MD
- NPI 1194615310
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1639101116
-
- General Acute Care Hospital
- Templeton, CA
- NPI 1396778197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1003254483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12460",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934062460",
"telephone_number": "805-543-4407",
"fax_number": "805-543-4587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 PHILLIPS LN STE 203",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012551",
"telephone_number": "805-543-4407",
"fax_number": "805-543-4587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAMMY",
"first_name": "JUSTIN",
"middle_name": "N",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-07",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS018634",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "16620",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "16620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.