Individual provider Active NPI

Conor Grady, MD

  • Neurological Surgery Physician
  • Travis AFB, CA
National Provider Identifier
1730590563
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A174417 Issued in CA
Practice address
103 Bodin Cir BLDG 778
Travis AFB, CA 94535-1801
Phone
(707) 423-5252
NPI assigned
May 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A174417 CA Primary

Addresses

Primary practice location

103 Bodin Cir BLDG 778
Travis AFB, CA 94535-1801

Mailing address

103 Bodin Cir BLDG 778
Travis AFB, CA 94535-1801
Phone (707) 423-5252

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
I20211110000156 CA Practitioner - Neurosurgery 0244578789 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Yale University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

1860 Pennsylvania Ave
Suite 230
Fairfield, CA 94533-3550
Phone (707) 646-4000

400 Parnassus Ave
San Francisco, CA 94143-2202

450 Stanyan St
San Francisco, CA 94117-1019
Phone (415) 750-5750

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

521 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion98
Laminectomy or laminotomy (partial removal of spine bones)34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A174417CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northbay Healthcare Group Current Accepting new patients
Northbay Health Medical Foundation CurrentSince Jan 1, 2026 Accepting new patients
Veeone Medical Group II Professional Corporation Neurological Surgery CurrentSince Nov 8, 2022 Accepting new patients
Northbay Healthcare Group CurrentSince Nov 1, 2021 Accepting new patients
Northbay Healthcare Group CurrentSince Nov 1, 2021 Accepting new patients
Veeone Medical Group PA Neurological Surgery CurrentSince Oct 1, 2022 Accepting new patients
UCSF Medical Group Business Services Neurological Surgery CurrentSince Jul 5, 2022 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 5, 2022 Accepting new patients
University of California San Francisco CurrentSince Jul 5, 2022 Accepting new patients
University of California San Francisco CurrentSince Jul 5, 2022 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1860 Pennsylvania Ave
Ste 230
Fairfield, CA 94533
Phone (707) 646-4000

4500 Business Center Dr
Fairfield, CA 94534
Phone (707) 646-4777

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1860 Pennsylvania Ave
Ste 110
Fairfield, CA 94533
Phone (707) 254-9693

1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
Rm A808
San Francisco, CA 94143
Phone (415) 353-7500

400 Parnassus Ave
#A808
San Francisco, CA 94143
Phone (415) 353-2366

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999

101 Main St
Winters, CA 95694
Phone (530) 795-4123

Interoperability endpoints

  • Direct secure messaging: cgrady243156@direct-ucsfmedicalcenter.org

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1730590563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BODIN CIR BLDG 778",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351801",
            "telephone_number": "707-423-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BODIN CIR BLDG 778",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351801",
            "telephone_number": "707-423-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "CONOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A174417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travis AFB, CA

Sources for this page

Verify at the official NPI Registry.