Richard I. Gracer, MD, Inc.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

G35367 Issued in CA

Legal business name

RICHARD I. GRACER, MD, INC.

Practice address

4 Crow Canyon CT
Suite 210
San Ramon, CA 94583

Phone

(925) 366-4860

Fax

(925) 886-4466

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Richard Ian Gracer, MD

Title

President

Phone

(925) 366-4860

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Gracer Behavioral Health Services Doing business as

Locations

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1497932321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CROW CANYON CT",
            "address_2": "SUITE 210",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-366-4860",
            "fax_number": "925-886-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CROW CANYON CT",
            "address_2": "SUITE 210",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-366-4860",
            "fax_number": "925-886-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD I. GRACER, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "GRACER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-366-4860",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "G35367",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G35367",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G35367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "ZZZ07604Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracer Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Reyes
• Crystal Reyes
• Hannah Reyes, RBT
• Asma Rezayefirouz
• Rhythm Guardian Inc
• Melissa Richards
• Amber Melissa Richardson, M.S.
• Sachi Richardson
• Kirsten Frances Riche, OTR/L
• Emily T Riewerts

• Interventional Pain Medicine Physician in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.