Active NPI
Stuart Gratz
- Pharmacist
- Dove Canyon, CA
National Provider Identifier
1053862375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP028979L
- Practice address
- 8 Glen Echo
Dove Canyon, CA 92679-3500 - Phone
- (949) 459-2565
- NPI assigned
- Oct 21, 2016
- Last updated
- Oct 21, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP028979L | PA | Primary |
| Pharmacist | 183500000X | PHA0020334 | CO | |
| Pharmacist | 183500000X | PS52117 | FL | |
| Pharmacist | 183500000X | 0014144 | OR |
Addresses
Primary practice location
8 Glen Echo
Dove Canyon, CA 92679-3500
Mailing address
8 Glen Echo
Dove Canyon, CA 92679-3500
Phone (949) 459-2565
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 |
|---|---|---|---|
| PHA0020334 | CO | MD | Pharmacist |
| PS52117 | FL | MD | Pharmacist |
| 0014144 | OR | MD | Pharmacist |
| RP028979L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1053862375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 GLEN ECHO",
"city": "DOVE CANYON",
"state": "CA",
"postal_code": "926793500",
"telephone_number": "949-459-2565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 GLEN ECHO",
"city": "DOVE CANYON",
"state": "CA",
"postal_code": "926793500",
"telephone_number": "949-459-2565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRATZ",
"first_name": "STUART",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-21",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP028979L",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA0020334",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS52117",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0014144",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dove Canyon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.