Organization Active NPI

Robert Grant, M.D. Prof. Corp.

  • Medical Specialty Clinic/Center
  • San Francisco, CA
National Provider Identifier
1487426813
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ROBERT GRANT, M.D. PROF. CORP.
Practice address
4200 18TH St Ste 202
San Francisco, CA 94114-2449
Phone
(415) 350-8909
Fax
(415) 800-6055
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Dr. Robert Martin Grant, MD, MPH, CMTNPI 1508891748
Title
President
Phone
(415) 350-8909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

4200 18TH St Ste 202
San Francisco, CA 94114-2449

Mailing address

4200 18TH St Ste 202
San Francisco, CA 94114-2449
Phone (415) 350-8909

Other names 1

  • Healing Realms Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1487426813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 18TH ST STE 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142449",
            "telephone_number": "415-350-8909",
            "fax_number": "415-800-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 18TH ST STE 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142449",
            "telephone_number": "415-350-8909",
            "fax_number": "415-800-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT GRANT, M.D. PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-28",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-350-8909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH, CMT"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Realms",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.