Richard F. Gravina, M.D. a Medical Corporation

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

00G244450 Issued in CA

Legal business name

RICHARD F. GRAVINA, M.D. A MEDICAL CORPORATION

Practice address

333 N. San Mateo Drive
San Mateo, CA 94401

Phone

(650) 348-6811

Fax

(650) 348-3651

NPI assigned

Feb 1, 2013

Last updated

Feb 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Frank Gravina, M.D.NPI 1235217605

Title

President

Phone

(650) 348-6811

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Frank Gravina, MD

  • Neurology Physician
  • San Mateo, CA
  • NPI 1235217605
  NPD Authorized official

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1053650762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N. SAN MATEO DRIVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94401",
            "telephone_number": "650-348-6811",
            "fax_number": "650-348-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N. SAN MATEO DRIVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94401",
            "telephone_number": "650-348-6811",
            "fax_number": "650-348-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD F. GRAVINA, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "GRAVINA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-348-6811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "00G244450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Ricci
• Melissa Riccio, LCSW
• Kimberly Dawn Rich, MFT
• Richard a Fagin DDS a Professional Corporation
• Richard B Morgan, MD, Inc
• Richard Hom OD
• Richard P. Carr Physical Therapy Inc (Burlingame Therapeutic Associates)
• Philip A Richardi, DPT
• Candice Alexandria Richardson-Solomon, LIC. MFT
• Annie Leigh Richardson, RN

• Neurology Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.