Grayce Medical, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GRAYCE MEDICAL, LLC

Practice address

1400 Greenwich St Apt 9
San Francisco, CA 94109-1444

Phone

(628) 237-0813

NPI assigned

May 12, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Mark Shen, MDNPI 1508826405

Title

President

Phone

(512) 779-7276

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, SC, HI, CA4 enrollments

Enrollment records 4

Practitioners 5

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

• Mark Wayne Shen, MD

  • Pediatrics Physician
  • West Lake Hills, TX
  • NPI 1508826405
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer F. Beatty, D.O.

  • Surgery Physician
  • Greenville, SC
  • NPI 1952387979
  Medicare reassignment Care Compare group NPD
• Brandi Gary, M.D.

  • Emergency Medicine Physician
  • Honolulu, HI
  • NPI 1346416369
  Medicare reassignment Care Compare group NPD
• Banita B. Sehgal, D.O.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1942212527
  Medicare reassignment NPD
• Donnielle Lynn Green, DO

  • Internal Medicine Physician
  • Shelby, NC
  • NPI 1073620530

  SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1518757566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 GREENWICH ST APT 9",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941091444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 GREENWICH ST APT 9",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941091444",
            "telephone_number": "628-237-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYCE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-779-7276",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Gray
• Stephanie Gray, CASE MANAGER
• Grayce Medical KS, LLC
• Grayce Medical NJ, LLC
• Grayce Medical, Ca PC
• Evan Andrew Graye
• Da'Mesha Grayson
• Nikia D Grayson, CNM DNP
• Angelika Vitalia Grazutis, FNP
• Anthony Grealy

• General Practice Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.