Individual provider Active NPI

Lynn Gretkowski, MD

  • Obstetrics & Gynecology Physician
  • Palo Alto, CA
National Provider Identifier
1619083250
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G79304 Issued in CA
Practice address
530 Lytton Ave FL 2
Palo Alto, CA 94301-1541
Phone
(415) 663-5584
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G79304 CA Primary

Addresses

Primary practice location

530 Lytton Ave FL 2
Palo Alto, CA 94301-1541

Mailing address

15 Susan Gale CT
Menlo Park, CA 94025-6684
Phone (650) 269-3381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080507000694 CA Practitioner - Obstetrics/Gynecology 4082793682 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G79304CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lgretkowski7190@icare.elcaminohospital.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1619083250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SUSAN GALE CT",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256684",
            "telephone_number": "650-269-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LYTTON AVE FL 2",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011541",
            "telephone_number": "415-663-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETKOWSKI",
        "first_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-06-01",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G79304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.