Individual provider Active NPI

Grace Ellen Banks, PA

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1427672559
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
57894 Issued in CA
Practice address
45 Castro St Ste 324
San Francisco, CA 94114-1029
Phone
(415) 395-9895
Fax
(415) 395-9897
NPI assigned
Jun 4, 2020
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 57894 CA Primary

Addresses

Primary practice location

45 Castro St Ste 324
San Francisco, CA 94114-1029

Mailing address

45 Castro St Ste 324
San Francisco, CA 94114-1029
Phone (415) 395-9895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Resolute Physicians Medical Group PC CurrentSince Aug 15, 2022 Accepting new patients
Mozaic Care, Inc. Past Accepting new patients

Locations

1650 Jackson St
Ste 101
San Francisco, CA 94109
Phone (415) 858-0905

2010 Crow Canyon Pl
Ste 100
San Ramon, CA 94583
Phone (510) 999-4410

Interoperability endpoints

  • Direct secure messaging: gbanks605196@hisp.ehr.sutterhealth.org
  • Direct secure messaging: grace.banks.1@18503.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18503/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1427672559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CASTRO ST STE 324",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141029",
            "telephone_number": "415-395-9895",
            "fax_number": "415-395-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CASTRO ST STE 324",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141029",
            "telephone_number": "415-395-9895",
            "fax_number": "415-395-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "GRACE",
        "middle_name": "ELLEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.