Individual provider Active NPI

Catherine Anne Grellet, M.D.

  • Internal Medicine Physician
  • Los Gatos, CA
National Provider Identifier
1053418939
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G55508 Issued in CA
Practice address
15251 National Ave
Suite 104
Los Gatos, CA 95032-2400
Phone
(408) 358-7360
Fax
(408) 358-7357
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G55508 CA Primary

Addresses

Primary practice location

15251 National Ave
Suite 104
Los Gatos, CA 95032-2400

Mailing address

15251 National Ave
Suite 104
Los Gatos, CA 95032-2400
Phone (408) 358-7360

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101230000055 CA Practitioner - Internal Medicine 7517155914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G55508CAMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053418939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15251 NATIONAL AVE",
            "address_2": "SUITE 104",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322400",
            "telephone_number": "408-358-7360",
            "fax_number": "408-358-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15251 NATIONAL AVE",
            "address_2": "SUITE 104",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322400",
            "telephone_number": "408-358-7360",
            "fax_number": "408-358-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRELLET",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G55508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.