Janell Marie Grace

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1410 Bonita Ave
Berkeley, CA 94709-1909

Phone

(510) 526-4765

NPI assigned

May 20, 2019

Last updated

Sep 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1417514027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 BONITA AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091909",
            "telephone_number": "909-524-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BONITA AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091909",
            "telephone_number": "510-526-4765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3810 Rosin Ct Ste 170",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958341658",
            "country_code": "US",
            "telephone_number": "916-567-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRACE",
        "first_name": "JANELL",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Korina Gov, DC
• Ahuti J Goyal
• Neil Herbert Gozan, MD
• Miles Graber, M.D.
• Erik Grabow, M.F.T.
• Talia Shanks Gracer, M.D.
• Warner Graham
• Jane Marcus Graly, PT
• Elaine Gram
• Jennifer Lynn Granberg

• Rehabilitation Practitioner in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.