Robert K Grazier, MD
Individual provider Active NPI Emergency Medicine Physician · Clovis, CA
NPI 1437101342 · NPPES record last updated Oct 10, 2018
Key facts
- NPI
- 1437101342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- G23231 (CA)
- Practice address
- 2755 Herndon Avenue
Clovis, CA 93611-6800 - Phone
- (559) 324-4000
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070406000364 | CA | Practitioner - Emergency Medicine |
9335037795 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G23231 | CA | MD | Emergency Medicine Physician |
| 23231 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current |
Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current |
Accepting new patients |
| Regional Emergency Medical Group Inc | Emergency Medicine | Past | Accepting new patients |
| Community Hospitalist Medical Group Inc. | Past | Accepting new patients | |
| Community Emergency Medical Associates | Emergency Medicine | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G23231 | CA | Yes |
Addresses
Primary practice location
2755 Herndon Avenue
Clovis, CA 93611-6800
Mailing address
PO Box 11259
Westminster, CA 92685-1259
Phone (866) 675-9441
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G232310 | Medicaid | CA |
Other providers in Clovis, CA
- Christian Grabenstein
- Leah Daniellle Rath Grace
- John W. Graneto
- Franie Lasconia Gravidez
- Rachel Graziani
- Green Gables Care Home
- Green Gables Care Home
- Green Lotus Therapy & Consulting, Inc
- Green Sports Medicine Inc
- Courtney Lee Green
All providers in Clovis, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.