Active NPI
Neil Granader, M.D.
- Obstetrics Physician
- San Jose, CA
National Provider Identifier
1730274309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- A44725
- Practice address
- Regional Medical Center of San Jose
225 N. Jackson Avenue
San Jose, CA 95116 - Phone
- (408) 297-0227
- Fax
- (408) 297-0237
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | A44725 | CA | Primary |
Addresses
Primary practice location
Regional Medical Center of San Jose
225 N. Jackson Avenue
San Jose, CA 95116
Mailing address
P.O.Box 59282
San Jose, CA 95159
Phone (408) 297-0227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A447250 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44725 | CA | MD | Marriage & Family Therapist |
| A44725 | CA | MD | Obstetrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519171200000",
"number": "1730274309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 59282",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95159",
"telephone_number": "408-297-0227",
"fax_number": "408-297-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "REGIONAL MEDICAL CENTER OF SAN JOSE",
"address_2": "225 N. JACKSON AVENUE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95116",
"telephone_number": "408-297-0227",
"fax_number": "408-297-0237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANADER",
"first_name": "NEIL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2018-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "A44725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A447250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.