Active NPI
Paul Charles Grimm, MD
- Pediatric Nephrology Physician
- Palo Alto, CA
National Provider Identifier
1184705386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- A44616
- Practice address
- 725 Welch Rd
Palo Alto, CA 94304-1601 - Phone
- (650) 497-8000
- NPI assigned
- Oct 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A44616 | CA | |
| Pediatric Nephrology Physician | 2080P0210X | A44616 | CA | Primary |
Addresses
Primary practice location
725 Welch Rd
Palo Alto, CA 94304-1601
Mailing address
300 Pasteur Dr
G306, Mc5208
Stanford, CA 94305-2200
Phone (650) 723-7903
Other practice location 1
300 Pasteur Dr
G306, Mc5208
Stanford, CA 94305-2200
Phone (650) 723-7903
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A446160 | Other | CA | MEDI-CAL PROVIDER |
| A44616 | Other | CA | CALIFORNIA MEDICAL LICENS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 498-7200
Hospital & facility affiliations
- Lucile Salter Packard Children'S HSP at Stanford
- Stanford Health Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A44616 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Pediatrics | Current | Accepting new patients |
| Stanford Health Care | Pediatrics | Past | Accepting new patients |
Locations
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
300 Pasteur Dr
#G306
Stanford, CA 94305
Phone (650) 723-7903
300 Pasteur Dr
#5500
Stanford, CA 94305
Phone (415) 723-5525
106 La Casa Via
Ste 110
Walnut Creek, CA 94598
Phone (925) 934-2333
Interoperability endpoints
- pgrimm223364@hisp.ehr.sutterhealth.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1285177337
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1467990465
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1871543215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1184705386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"address_2": "G306, MC5208",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-7903",
"fax_number": "650-498-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
}
],
"practiceLocations": [
{
"address_1": "300 Pasteur Dr",
"address_2": "G306, MC5208",
"address_purpose": "LOCATION",
"city": "Stanford",
"state": "CA",
"postal_code": "943052200",
"country_code": "US",
"telephone_number": "650-723-7903",
"fax_number": "650-498-6714",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIMM",
"first_name": "PAUL",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A44616",
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "CA",
"license": "A44616",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER",
"identifier": "00A446160",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MEDICAL LICENS",
"identifier": "A44616",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.