Active NPI
Karsten Groth Gryziec, LAC, CMT
- Acupuncturist
- San Francisco, CA
National Provider Identifier
1114171865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 11343
- Practice address
- 1317 18TH St
San Francisco, CA 94107-2822 - Phone
- (415) 601-2532
- NPI assigned
- Nov 7, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 11343 | CA | Primary |
Addresses
Primary practice location
1317 18TH St
San Francisco, CA 94107-2822
Mailing address
1995 30TH Ave
San Francisco, CA 94116-1147
Phone (415) 601-2532
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 |
|---|---|---|---|
| 11343 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226016000000",
"number": "1114171865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 30TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941161147",
"telephone_number": "415-601-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 18TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941072822",
"telephone_number": "415-601-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRYZIEC",
"first_name": "KARSTEN",
"middle_name": "GROTH",
"name_prefix": "Mr.",
"credential": "LAC, CMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-07",
"last_updated": "2008-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "11343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.