Active NPI
Greg Garavanian, PSYD
- Specialist
- San Francisco, CA
National Provider Identifier
1538292206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PSY18429
- Practice address
- 2456 Bush St
San Francisco, CA 94115-3106 - Phone
- (415) 845-5267
- Fax
- (415) 845-5267
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PSY18429 | CA | Primary |
Addresses
Primary practice location
2456 Bush St
San Francisco, CA 94115-3106
Mailing address
2456 Bush St
San Francisco, CA 94115-3106
Phone (415) 845-5267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abaci and Massey Pain Management Center a Medical Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Bay Area Pain & Wellness Center
- Pain Medicine Physician
- Los Gatos, CA
- NPI 1487758074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1538292206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2456 BUSH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153106",
"telephone_number": "415-845-5267",
"fax_number": "415-845-5267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2456 BUSH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153106",
"telephone_number": "415-845-5267",
"fax_number": "415-845-5267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARAVANIAN",
"first_name": "GREG",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "PSY18429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.