Active NPI
Grashika Sonal Devendra, DNP
- Nurse Practitioner
- Palo Alto, CA
National Provider Identifier
1407286743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95008890
- Practice address
- 401 Quarry Rd
Palo Alto, CA 94304 - Phone
- (650) 723-4000
- NPI assigned
- Nov 23, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 804188 | CA | |
| Nurse Practitioner | 363L00000X | 95008890 | CA | Primary |
Addresses
Primary practice location
401 Quarry Rd
Palo Alto, CA 94304
Mailing address
401 Quarry Rd
Palo Alto, CA 94304-1419
Phone (650) 723-4000
Other practice location 1
800 Scenic Dr
Modesto, CA 95350-6131
Phone (209) 558-4600
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 804188 | CA | MD | Psychiatric/Mental Health Registered Nurse |
| 95008890 | CA | MD | Nurse Practitioner |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1407286743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 QUARRY RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041419",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 QUARRY RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [
{
"address_1": "800 Scenic Dr",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953506131",
"country_code": "US",
"telephone_number": "209-558-4600",
"fax_number": "209-558-4702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVENDRA",
"first_name": "GRASHIKA",
"middle_name": "SONAL",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-23",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "804188",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95008890",
"primary": true
}
],
"identifiers": [],
"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 Jul 20, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.