Active NPI
Richard Robert Grunert, CACT 2215167-2
- Day Training/Habilitation Specialist
- San Mateo, CA
National Provider Identifier
1023646981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- License
- 2215767-2
- Practice address
- 2000 Alameda de Las Pulgas
San Mateo, CA 94403-1269 - Phone
- (650) 670-7714
- NPI assigned
- Mar 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2215767-1 | CA | |
| Day Training/Habilitation Specialist | 373H00000X | 2215767-2 | CA | Primary |
Addresses
Primary practice location
2000 Alameda de Las Pulgas
San Mateo, CA 94403-1269
Mailing address
668 Chevy Chase Way
Hayward, CA 94544-7230
Phone (650) 921-8631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2215767-1 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 2215767-2 | CA | MD | Day Training/Habilitation Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1023646981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 CHEVY CHASE WAY",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945447230",
"telephone_number": "650-921-8631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 ALAMEDA DE LAS PULGAS",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031269",
"telephone_number": "650-670-7714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNERT",
"first_name": "RICHARD",
"middle_name": "ROBERT",
"credential": "CACT 2215167-2",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-27",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "2215767-1",
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Day Training/Habilitation Specialist",
"state": "CA",
"license": "2215767-2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.