Allen George Gruber, M.D

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

G55246 Issued in CA

Practice address

4720 Hoen Ave
Santa Rosa, CA 95405-7867

Phone

(707) 595-3122

Fax

(707) 843-3102

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689747602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057867",
            "telephone_number": "707-595-3122",
            "fax_number": "707-843-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057867",
            "telephone_number": "707-595-3122",
            "fax_number": "707-843-3102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4704 Hoen Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954057824",
            "country_code": "US",
            "telephone_number": "707-546-7979",
            "fax_number": "707-546-7667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "ALLEN",
        "middle_name": "GEORGE",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G55246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G552461",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "G55246",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Grossman, P.A.
• Lisa R. Grossman, PH.D.
• Robert Lee Grove Jr., DDS
• Judith Hong Groves, M.D.
• Isabela Storm Horstman Growden
• Ryan Joseph Grumich
• Grund Chiropract Health Center
• Timothy Lee Grund, DC, DACNB
• David A Grundy, MD
• Guadalupe Papalotzin DDS Corp

• Pain Medicine (Anesthesiology) Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.