Individual provider Active NPI

Grace Jane Graw, MD

  • Plastic Surgery Physician
  • Palo Alto, CA
National Provider Identifier
1558650051
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A122414 Issued in CA
Practice address
1515 El Camino Real Ste F
Palo Alto, CA 94306-1000
Phone
(650) 325-2530
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A122414 CA Primary

Addresses

Primary practice location

1515 El Camino Real Ste F
Palo Alto, CA 94306-1000

Mailing address

1515 El Camino Real Ste F
Palo Alto, CA 94306-1000
Phone (650) 325-2530

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.grawbeauty.com Direct

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A122414CAMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1558650051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 EL CAMINO REAL STE F",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061000",
            "telephone_number": "650-325-2530",
            "fax_number": "650-325-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 EL CAMINO REAL STE F",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061000",
            "telephone_number": "650-325-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAW",
        "first_name": "GRACE",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A122414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.grawbeauty.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1515 El Camino Real Ste F",
            "city": "Palo Alto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "943061000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.